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Individual
MICHAELENE M BAKER URBAN
Active
Individual
MICHAELENE M BAKER URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSNCNS
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
LB0000270
DE
364S00000X
Clinical Nurse Specialist
Primary
L90000104
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L90000104
LICENSE
DE
01
—
LB0000270
LICENSE
DE
Enumeration date
05/19/2009
Last updated
11/08/2016
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