Individual
STEPHANIE DANIELLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
238 CASSIDY BLVD, PIKEVILLE, KY 41501-1426
(606) 430-2230
(606) 437-2525
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-2230
(606) 437-2525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003549
KY
363LF0000X
Family Nurse Practitioner
3003549
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000497057
ANTHEM BC BS
KY
01
—
1231984
CHA
KY
05
—
78010246
—
KY
Enumeration date
10/26/2006
Last updated
10/06/2022
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