Individual
MADISON BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7201 N UNIVERSITY DR, TAMARAC, FL 33321-2913
(954) 826-0143
Mailing address
476 WESTREE LN, PLANTATION, FL 33324-1878
(954) 826-0143
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN9498367
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
01/21/2021
Last updated
01/21/2021
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