Individual
DANIELLE BENTRUP BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
609 W MAPLE AVE, SPRINGDALE, AR 72764-5335
(479) 751-5711
(479) 751-1099
Mailing address
14700 MEADOWLAND CIR, NEWARK, TX 76071-8905
(318) 564-7888
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
918052
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1001195
TX
367500000X
Certified Registered Nurse Anesthetist
221343
AR
367500000X
Certified Registered Nurse Anesthetist
230551
LA
367500000X
Certified Registered Nurse Anesthetist
APRN11020306
FL
Other
Enumeration date
01/07/2020
Last updated
01/16/2024
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