Individual
GRACE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
250 N SEE VEE LN, BISHOP, CA 93514-8130
(760) 873-8464
Mailing address
250 N SEE VEE LN, BISHOP, CA 93514-8130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95018374
CA
363LF0000X
Family Nurse Practitioner
95018374
CA
Other
Enumeration date
10/05/2021
Last updated
11/04/2025
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