Individual
MRS. CATHY LYNN BAKER
Active
Individual
MRS. CATHY LYNN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R108058
MD
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
R108058
MD
163WA2000X
Administrator Registered Nurse
Primary
R108058
MD
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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