Individual
MS. MARGIE C BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161
(502) 361-7403
Mailing address
PO BOX 36218, LOUISVILLE, KY 40233-6218
(502) 361-7403
(502) 361-1890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4404P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000498033
ANTHEM
KY
05
—
200802820
—
IN
01
—
2797712000
PASSPORT ADVANTAGE
KY
01
—
50013282
PASSPORT
KY
05
—
78014016
—
KY
Enumeration date
08/18/2006
Last updated
03/06/2008
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