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Individual

MRS. AMANDA DIANE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1713 6TH AVENUE SOUTH, BIRMINGHAM, AL 35294-0001
(205) 996-6870
Mailing address
8555 CARRINGTON LAKE CRST, TRUSSVILLE, AL 35173-3802
(205) 655-8900

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-022229
AL

Other

Enumeration date
06/02/2006
Last updated
02/13/2008
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