Individual
MEGHAN J BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2527 E ALTA VISTA RD, PHOENIX, AZ 85042-4692
(605) 261-9895
Mailing address
2527 E ALTA VISTA RD, PHOENIX, AZ 85042-4692
(605) 261-9895
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN176037
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
093870
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
283698
AZ
Other
Enumeration date
05/09/2022
Last updated
12/11/2022
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