Individual
CLORINDA M BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4451 BAYOU BLVD, PENSACOLA, FL 32503-2601
(850) 416-7619
Mailing address
2115 CHANCE RD, MOLINO, FL 32577-7083
(850) 529-0638
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
65649
NM
363L00000X
Nurse Practitioner
65649
NM
363L00000X
Nurse Practitioner
Primary
9343863
FL
363LA2100X
Acute Care Nurse Practitioner
9343863
FL
Other
Enumeration date
04/26/2018
Last updated
01/09/2024
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