Individual
CARISA LYNN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6420
(608) 263-0440
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 263-6420
(608) 263-0440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
137192-30
WI
363LP0200X
Pediatric Nurse Practitioner
Primary
6761-33
WI
Other
Enumeration date
01/14/2016
Last updated
01/08/2021
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