Individual
SARAH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4555 OGBURN AVE, WINSTON SALEM, NC 27105-2726
(336) 703-4273
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5011818
NC
Other
Enumeration date
06/20/2019
Last updated
10/29/2021
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