Individual
MARIA BAKER SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
100 BELLEFONTE DR, GRAYSON, KY 41143-1820
(606) 474-0669
Mailing address
PO BOX 550, VANCEBURG, KY 41179-0550
(606) 956-0162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3004971
KY
363LF0000X
Family Nurse Practitioner
4971P
KY
363LF0000X
Family Nurse Practitioner
RN09464
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000556884
ANTHEM BCBS
KY
01
—
000000609843
ANTHEM BCBS
KY
05
—
2705068
—
OH
05
—
7100000990
—
KY
01
—
P00602511
RR MEDICARE
KY
01
—
P00754286
RR MEDICARE
KY
Enumeration date
10/23/2006
Last updated
01/05/2021
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