Individual
MS. MICHELLE RUTH BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2703 W GENESEE ST, SYRACUSE, NY 13219-1542
(315) 487-9285
Mailing address
2703 W GENESEE ST, SYRACUSE, NY 13219-1542
(315) 487-9285
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
560169-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02760130
—
NY
Enumeration date
05/05/2008
Last updated
05/05/2008
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