Individual
MARY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
843 E LAKE FOREST AVE, MILWAUKEE, WI 53217-5377
(414) 964-6397
Mailing address
9500 N GREEN BAY RD, STE 102, MILWAUKEE, WI 53209-1050
(414) 365-5570
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
73097030
WI
163WH0200X
Home Health Registered Nurse
Primary
73097030
WI
Other
Enumeration date
01/22/2007
Last updated
09/11/2025
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