Individual
KATHRYN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
4076 NEELY RD, FORT WAINWRIGHT, AK 99703
(907) 361-5779
Mailing address
4076 NEELY RD, FORT WAINWRIGHT, AK 99703
(907) 361-5779
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
226950
AK
363LF0000X
Family Nurse Practitioner
RN206281
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1756137
—
AK
Enumeration date
11/19/2020
Last updated
07/01/2025
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