Individual
LINDA M. BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
1481 W. 10TH ST., INDIANAPOLIS, IN 46202
(317) 988-3630
(317) 988-3159
Mailing address
1481 W. 10TH ST., INDIANAPOLIS, IN 46202
(317) 988-3630
(317) 988-3159
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
281723074A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
17551
SC
363LA2100X
Acute Care Nurse Practitioner
2008007629
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA76458946
MEDICARE PTAN
SC
05
—
NP1886
—
SC
Enumeration date
02/16/2009
Last updated
08/31/2015
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