Individual
REBECCA ELAINE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5024 N ROYAL DR, TRAVERSE CITY, MI 49684-9230
(231) 935-0555
Mailing address
5024 N ROYAL DR, TRAVERSE CITY, MI 49684-9230
(231) 935-0555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704283838
MI
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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