Individual
MS. AMANDA JANIS BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1714 E HUNDRED RD STE 104, CHESTER, VA 23836-3310
(804) 681-0556
(804) 410-4619
Mailing address
1714 E HUNDRED RD STE 104, CHESTER, VA 23836-3310
(804) 681-0556
(804) 410-4619
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
0001288819
VA
363L00000X
Nurse Practitioner
Primary
0024184971
VA
Other
Enumeration date
07/10/2022
Last updated
08/30/2022
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