Individual
JENNIFER BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 N HIGLEY RD, GILBERT, AZ 85234-1604
(480) 543-2600
Mailing address
4838 E BASELINE RD STE 108, MESA, AZ 85206-4672
(480) 981-2400
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1434
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
Enumeration date
09/19/2017
Last updated
09/19/2017
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