Individual
MARIE DAWN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
321C E COLLEGE AVE, STANTON, KY 40380-2325
(606) 663-9797
(606) 663-9470
Mailing address
321C E COLLEGE AVE, STANTON, KY 40380-2325
(606) 663-9797
(606) 663-9470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1134736
KY
207Q00000X
Family Medicine Physician
1137736
KY
363LF0000X
Family Nurse Practitioner
Primary
3014098
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134736
KBN
KY
01
—
3014098
KBN
KY
05
—
7100700080
—
KY
01
—
F11190478
AANP
—
Enumeration date
11/26/2019
Last updated
03/22/2021
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