Individual
MRS. NIDSA DORIS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
4425 PAULSEN ST, SAVANNAH, GA 31405-3662
(912) 355-6615
(912) 351-0645
Mailing address
4425 PAULSEN ST, SAVANNAH, GA 31405-3662
(912) 355-6615
(912) 351-0645
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN175998
GA
Other
Enumeration date
07/25/2012
Last updated
05/23/2019
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