Individual
CHRISTOPHER BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 S JEFFERSON ST, KITTANNING, PA 16201-2422
(724) 543-5919
Mailing address
1 NOLTE DR, KITTANNING, PA 16201-7111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP020500
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP020500
LICENSE
PA
Enumeration date
10/18/2019
Last updated
10/18/2019
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