Individual
MARISSA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
S 42ND & EMILE STREET, OMAHA, NE 68198-0001
(402) 559-4000
Mailing address
528 S 29TH ST APT 201, OMAHA, NE 68105-1540
(308) 750-4625
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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