Individual
MS. TESHA LANATTE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
610 S 2ND ST, DES ARC, AR 72040-3034
(870) 256-5669
Mailing address
610 S 2ND ST, DES ARC, AR 72040-3034
(870) 256-5669
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L056480
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L056480
STATE BOARD OF NURSING
AR
Enumeration date
09/30/2021
Last updated
09/30/2021
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