Individual
MARK BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
332 GLENOLDEN CT, CARY, NC 27513-3287
(919) 624-1334
Mailing address
332 GLENOLDEN CT, CARY, NC 27513-3287
(919) 624-1334
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5006660
NC
Other
Enumeration date
01/14/2014
Last updated
11/19/2024
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