Individual
GAVIN NATHAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(800) 516-5315
(517) 787-7365
Mailing address
3510 N CAUSEWAY BLVD, SUITE 404, METAIRIE, LA 70002-3531
(504) 779-5515
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP06485
LA
367500000X
Certified Registered Nurse Anesthetist
RN117613
LA
Other
Enumeration date
07/07/2011
Last updated
04/04/2023
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