Individual
BONNIE COX BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3714 GUARDIAN AVE STE W, MOREHEAD CITY, NC 28557-2975
(252) 247-0314
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 873-9533
(844) 454-0171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
225079
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
225079
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912249640
—
NC
Enumeration date
03/20/2013
Last updated
03/17/2018
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