Individual
NICHOLAS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2611 S DEARBORN ST, SEATTLE, WA 98144-3013
(206) 712-6500
(865) 560-7110
Mailing address
1643 NW 136TH AVE., BLDG: H, SUITE: 100 MSC 11607-0004, SUNRISE, FL 33323
(785) 224-6780
(865) 560-7110
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA61358792
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/02/2021
Last updated
12/07/2023
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