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Individual

AMANDA MERCEDES BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, WHNP-BC

Contact information

Practice address
1739 E BEVERLY AVE STE 200, KINGMAN, AZ 86409-3593
(928) 681-8705
Mailing address
1739 E BEVERLY AVE STE 200, KINGMAN, AZ 86409-3593
(928) 681-8705

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
247851
AZ
367A00000X
Advanced Practice Midwife
247851
AZ

Other

Enumeration date
01/11/2021
Last updated
05/13/2022
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