Individual
TARA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 667-0041
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 667-0041
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R169603
MD
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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