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Individual
MRS. CHRISTY QUIRE BAKER
Active
Individual
MRS. CHRISTY QUIRE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3085P
KY
363LF0000X
Family Nurse Practitioner
3003085
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196210
ANTHEM
KY
01
—
1125464
PASSPORT
KY
05
—
200351040
—
IN
01
—
2437387000
PASSPORT ADVANTAGE
KY
05
—
78004496
—
KY
Enumeration date
10/05/2005
Last updated
02/21/2020
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