Individual
AMANDA BROOKE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1508 MILITARY CUTOFF RD STE 203, WILMINGTON, NC 28403-5730
(910) 679-4312
Mailing address
1508 MILITARY CUTOFF RD STE 203, WILMINGTON, NC 28403-5730
(910) 679-4312
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015766
NC
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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