Individual
LAURIE A BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, ANP-C
Contact information
Practice address
3090 N 3RD AVE, PHOENIX, AZ 85013
(602) 745-2954
(602) 745-2963
Mailing address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(602) 406-3008
(602) 406-6108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN114181
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
AP1284
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686066
—
AZ
Enumeration date
09/21/2005
Last updated
07/24/2018
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