Individual
ALLISON BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1150 STATE HIGHWAY 248 STE 200, BRANSON, MO 65616-4186
(417) 336-7112
(417) 335-4684
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-7241
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
128398
MO
363L00000X
Nurse Practitioner
Primary
2016003664
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396103370
—
MO
Enumeration date
02/04/2016
Last updated
01/10/2019
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