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Individual

MISS AMY BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
17858
SC
367500000X
Certified Registered Nurse Anesthetist
188043
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8051827
NC
Enumeration date
07/19/2005
Last updated
12/28/2021
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