Individual
PAULA MARIA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1317 EBENEZER RD, ROCK HILL, SC 29732-2336
(803) 207-8200
Mailing address
152 ATHENA PL, FORT MILL, SC 29715-7792
(704) 340-7233
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
19224
SC
363LG0600X
Gerontology Nurse Practitioner
19224
SC
363LP2300X
Primary Care Nurse Practitioner
Primary
19224
SC
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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