Provider Demographics
NPI:1871332221
Name:BAIRD, CARMEN HOBGOOD (AGACNP)
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:HOBGOOD
Last Name:BAIRD
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:698 GEORGE SHERMAN RD
Mailing Address - Street 2:
Mailing Address - City:ROUGEMONT
Mailing Address - State:NC
Mailing Address - Zip Code:27572-8111
Mailing Address - Country:US
Mailing Address - Phone:919-690-7091
Mailing Address - Fax:
Practice Address - Street 1:698 GEORGE SHERMAN RD
Practice Address - Street 2:
Practice Address - City:ROUGEMONT
Practice Address - State:NC
Practice Address - Zip Code:27572-8111
Practice Address - Country:US
Practice Address - Phone:919-690-7091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2024008720363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care