Individual
SHANNON LEE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ACNP
Contact information
Practice address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508
(907) 261-3641
Mailing address
3650 PIPER STREET SUITE A, ANCHORAGE, AK 99508
(907) 222-4624
(907) 222-4651
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
877
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5538
—
AK
Enumeration date
11/10/2006
Last updated
03/01/2019
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