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Individual
BREANN NICOLE BAKER
Active
Individual
BREANN NICOLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7776134-3102
UT
363L00000X
Nurse Practitioner
Primary
7776134-4405
UT
Other
Enumeration date
01/10/2017
Last updated
08/07/2024
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