Organization
SKIN ENVY DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA LYNN BAKER NP (OWNER/NP)
(402) 936-6198
Entity
Organization
Contact information
Practice address
3140 ELK LN STE 600, FREMONT, NE 68025-8650
(402) 936-6198
(402) 816-4402
Mailing address
3140 ELK LN STE 600, FREMONT, NE 68025-8650
(402) 936-6198
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026733400
—
NE
Enumeration date
01/11/2019
Last updated
01/13/2021
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