Individual
ANNELISE LENN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
805 THIRD ST, HORSESHOE BEND, AR 72512-3736
(870) 670-4861
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
215139
AR
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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