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Individual

MRS. MELISSA R BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
2315 GREEN VALLEY RD, SUITE 100, NEW ALBANY, IN 47150-4649
(812) 945-2100
(812) 945-9495
Mailing address
2315 GREEN VALLEY RD, SUITE 100, NEW ALBANY, IN 47150-4649
(812) 945-2100
(812) 945-9495

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002448A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000536270
ANTHEM PROV#
KY
05
200279060
IN
01
P00434558
IN RAILROAD MEDICARE PIN
Enumeration date
07/23/2007
Last updated
04/29/2016
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