Doreatha J Baker CPNP

NPI 1003817016 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1003817016
Gender Female
Enumeration Date 08/02/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
347 SMITH AVE N
SAINT PAUL MN, 55102-2387, US
Phone (651) 220-6708
Fax (651) 220-6589
Business Location
2910 CENTRE POINTE DR
35-121A
ROSEVILLE MN, 55113-1182, US
Phone (651) 855-2327
Fax (651) 855-2310
Toxanomy
Taxonomy Code 363LP0200X
License State Minnesota
License Number R091715-1
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According to our database, Doreatha J Baker CPNP NPI is 1003817016, taxonomy code is 363LP0200X and license number is R091715-1, license state is located at Minnesota. Doreatha J Baker CPNP physically located at 347 Smith Ave N, Saint Paul MN, 55102-2387. NPI Number Doreatha J Baker CPNP has the Individual type.

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1003817016 NPI number is provided on an as is basis without warranty of any kind. 1003817016 is maintained by the National Plan & Provider Enumeration System. The contents of Doreatha J Baker CPNP are for informational purposes only.