Individual
NICOLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 668-7703
(757) 668-8860
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 668-7703
(757) 668-8860
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024176636
VA
Other
Enumeration date
10/27/2019
Last updated
10/27/2019
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