Individual
MARILEE B BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-1801
(270) 442-1804
Mailing address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-7121
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3016222
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100742250
—
KY
Enumeration date
12/16/2020
Last updated
04/03/2023
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