Individual
INEZ A BAKER-WESTBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
1965 FORD PKWY, 1165 ARCADE ST ST. PAUL MN 55106, SAINT PAUL, MN 55116-1923
(651) 698-2406
Mailing address
9530 JOSHUA CT, CHISAGO CITY, MN 55013-9781
(651) 257-9454
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R081312-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-00941
MEDICA
—
01
—
1023192
PREFERRED ONE
—
01
—
1067913
AMERICA'S PPO (ARAZ)
—
01
—
127764
UCARE
—
01
—
17F90BA
BCBS MN
MN
01
—
34799
SIOUX VALLEY HEALTH PLAN
—
01
—
HP30390
HEALTH PARTNERS
—
Enumeration date
01/24/2006
Last updated
07/08/2007
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