Individual
MARJORIE C BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
29 CHURCH ST, DEXTER, ME 04930-1320
(207) 924-5200
(207) 924-5200
Mailing address
118 MOOSEHEAD TRL, STE 5, NEWPORT, ME 04953-4055
(207) 368-5189
(207) 368-4213
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP081448
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421300099
—
ME
Enumeration date
02/28/2006
Last updated
06/27/2011
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