Individual
ELISABETH M BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
330 BROOKLINE AVE, RABB 239, BOSTON, MA 02215-5400
(617) 667-3110
Mailing address
330 BROOKLINE AVE, RABB 239, BOSTON, MA 02215-5400
(617) 667-3110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2259933
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084277A
—
MA
Enumeration date
10/05/2009
Last updated
08/19/2016
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