Individual
SHANNON NICOLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
102 MAIN ST, GREENFIELD, MA 01301-3275
(413) 325-8500
Mailing address
97 LOCUST ST, NORTHAMPTON, MA 01060-2054
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN2298153
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2298153
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/20/2020
Last updated
10/21/2021
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