Provider Demographics
NPI:1225764285
Name:BAKER, SHERRY MONTELIUS (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:MONTELIUS
Last Name:BAKER
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 TOWN CENTER PKWY UNIT 8205
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-8074
Mailing Address - Country:US
Mailing Address - Phone:504-512-6721
Mailing Address - Fax:225-217-4032
Practice Address - Street 1:1303 TOWN CENTER PKWY UNIT 8205
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-8074
Practice Address - Country:US
Practice Address - Phone:504-231-9259
Practice Address - Fax:225-217-4032
Is Sole Proprietor?:No
Enumeration Date:2022-07-30
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA226974363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily