Individual
JUDY ANN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
3277 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-5113
(603) 356-6400
Mailing address
4 HIGHLAND AVE, P.O. BOX 135, GORHAM, NH 03581-1506
(160) 346-6366
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
XB0762799
NH
363L00000X
Nurse Practitioner
Primary
036838-23
NH
363LF0000X
Family Nurse Practitioner
036838-23-03
NH
Other
Enumeration date
07/04/2007
Last updated
08/18/2020
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