Individual
KATIE ANN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2200 3RD AVE, ROCK ISLAND, IL 61201-8840
(309) 779-2094
Mailing address
4115 18TH AVE, MOLINE, IL 61265-3513
(815) 587-4028
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041484854
IL
163WC0400X
Case Management Registered Nurse
157872
IA
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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