Individual
BRANDON T. BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 OLIVER RD # B, MONROE, LA 71201-5702
(318) 807-6267
(318) 812-6458
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN142931
LA
363LF0000X
Family Nurse Practitioner
Primary
214266
LA
Other
Enumeration date
06/08/2020
Last updated
07/13/2020
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