Individual
MISS OLIVIA RENAY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2222 E CARY ST APT 524, RICHMOND, VA 23223-7090
(210) 845-8638
Mailing address
2222 E CARY ST APT 524, RICHMOND, VA 23223-7090
(210) 845-8638
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001294595
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024184573
VA
Other
Enumeration date
07/13/2021
Last updated
10/07/2023
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