Individual
SUSAN F BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
IHS MAIN STREET, EAGLE BUTTE, SD 57625-1012
(605) 964-3004
(605) 964-1110
Mailing address
PO BOX 1145, EAGLE BUTTE, SD 57625-1145
(605) 964-8521
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R025934
SD
Other
Enumeration date
06/14/2006
Last updated
11/07/2011
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