Individual
NANCY JO BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4150 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3605
(616) 913-2009
Mailing address
4150 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3605
(616) 318-2006
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
4704151632
MI
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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