Individual
KELLI BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5500 94TH AVE N, BROOKLYN PARK, MN 55443-1992
(763) 290-1039
(763) 315-6673
Mailing address
5500 94TH AVE N, BROOKLYN PARK, MN 55443-1992
(763) 290-1039
(763) 315-6673
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
2506251
MN
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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