Individual
KIRSTIN MONEAKA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP, PMHNP-BC
Contact information
Practice address
1030 ORKLA DR, GOLDEN VALLEY, MN 55427-4440
(612) 443-7424
Mailing address
1030 ORKLA DR, GOLDEN VALLEY, MN 55427-4440
(612) 443-7424
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10115
MN
Other
Enumeration date
04/19/2023
Last updated
09/21/2023
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