Individual
NICOLE LYNNE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
798 BENT TREE AVE, WILLARD, MO 65781-6003
(000) 000-0000
Mailing address
798 BENT TREE AVE, WILLARD, MO 65781-6003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019039808
MO
Other
Enumeration date
10/17/2019
Last updated
03/21/2025
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