# IRENE T BAKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033143417
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4704111052 | MI | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 08/03/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0N55170009 | MEDICARE PLUS BLUE | MI |
| 01 | — | 1024246 | MCLAREN HEALTH PLAN-COMMERCIAL | MI |
| 05 | — | 1033143417 | — | MI |
| 01 | — | 200000001200 | PHP FAMILYCARE | MI |
| 01 | — | 5008769750 | BLUE CROSS BLUE SHIELD OF MICHIGAN | MI |
| 01 | — | 7272662 | AETNA | MI |