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Individual
SUSAN R BAKER
Active
Individual
SUSAN R BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP009680
PA
363LF0000X
Family Nurse Practitioner
Primary
SP009680
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011987
HIGHMARK BS FREEDOM BLUE
PA
01
—
210534
JOHNS HOPKINS
PA
01
—
50074882
CAPITAL BLUE CROSS-WMG
PA
01
—
918868
CAREFIRST MD BCBS
PA
Enumeration date
01/08/2008
Last updated
09/13/2024
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