Individual
DESTINY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2119 64TH ST SW, BYRON CENTER, MI 49315-9409
(616) 217-3632
Mailing address
2119 64TH ST SW, BYRON CENTER, MI 49315-9409
(616) 217-3632
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05231167
MI
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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