Individual
MS. PHYLLIS ELIZABETH BAKER
Active
Individual
MS. PHYLLIS ELIZABETH BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, BC
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
28085339A
IN
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
70000095A
IN
Other
Enumeration date
09/05/2006
Last updated
09/11/2025
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