Individual
STEPHANIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
520 ROSE LN, WICKENBURG, AZ 85390-1447
(480) 420-4027
(602) 535-0940
Mailing address
2303 HUNTINGTON LN, REDONDO BEACH, CA 90278-4412
(610) 350-8412
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
RN598141
PA
367500000X
Certified Registered Nurse Anesthetist
101.0106204
VT
367500000X
Certified Registered Nurse Anesthetist
Primary
254534
AZ
Other
Enumeration date
07/21/2014
Last updated
09/21/2021
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