Individual
KATHLEEN ELIZABETH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14911 NATIONAL AVE STE 7, LOS GATOS, CA 95032-2632
(408) 358-3511
(408) 358-0012
Mailing address
2768 LONGFORD DR, SAN JOSE, CA 95132-2235
(408) 219-3748
(408) 358-0012
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
95205391
CA
163WG0000X
General Practice Registered Nurse
Primary
95205391
CA
163WP2201X
Ambulatory Care Registered Nurse
95205391
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95205391
CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
07/26/2023
Last updated
04/25/2024
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