Individual
KELLY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
12874 PATTERSON AVE # A, RICHMOND, VA 23238-7101
(804) 330-0303
Mailing address
12874 PATTERSON AVE STE A, RICHMOND, VA 23238-7101
(804) 330-0303
(804) 327-1677
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
0024190505
VA
Other
Enumeration date
06/26/2024
Last updated
08/13/2024
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