Individual
DUSTIN P BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
10787 NALL AVE, OVERLAND PARK, KS 66211-1375
(913) 588-0000
Mailing address
5400 JOHNSON DR # 344, MISSION, KS 66205-2911
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-79721-081
KS
363LF0000X
Family Nurse Practitioner
A164156
IA
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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