Individual
DAVID L BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8613 PLYMOUTH ROCK ROAD NE, ALBUQUERQUE, NM 87109-5039
(505) 307-3695
Mailing address
8613 PLYMOUTH ROCK ROAD NE, ALBUQUERQUE, NM 87109-5039
(505) 307-3695
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R43217
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R43217
NEW MEXICO NURSING LICENSE
NM
Enumeration date
07/21/2009
Last updated
07/21/2009
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