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Individual

ANDREA S BAKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C, RNFA

Contact information

Practice address
10121 PINE AVE, TRUCKEE, CA 96161-4856
(530) 587-6011
Mailing address
PO BOX 60901, TRUCKEE, CA 96160-9001

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
601949
CA
363L00000X
Nurse Practitioner
Primary
NP95003467
CA

Other

Enumeration date
02/28/2013
Last updated
02/19/2025
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