Individual
AMANDA RAE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
33 BEAVER DR, SUITE 1, DU BOIS, PA 15801-2434
(814) 503-8070
(814) 503-8531
Mailing address
2333 KEARNEY RD, BROCKWAY, PA 15824-5739
(814) 265-2590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP013814
PA
Other
Enumeration date
04/18/2014
Last updated
03/09/2016
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