Individual
DR. SAMANTHAJO BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2710 HARNEY ST STE 202, LARAMIE, WY 82072-2899
(307) 766-3313
Mailing address
2710 HARNEY ST STE 202, LARAMIE, WY 82072-2899
(307) 766-3313
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
48539
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/09/2020
Last updated
10/29/2025
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