Individual
MS. KAITLIN B BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1101 E MONROE AVE, MCALESTER, OK 74501-4826
(918) 426-7800
Mailing address
114 DOE RUN, POWDERLY, TX 75473-4526
(903) 517-3967
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
930017
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1110251
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
211531
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1110251
TEXAS BOARD OF NURSING - APRN-CNP
TX
01
—
211531
OKLAHOMA BOARD OF NURSING - APRN-CNP
OK
01
—
930017
REGISTERED NURSE
TX
Enumeration date
03/15/2018
Last updated
10/11/2023
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