Individual
MS. MEGAN TESS BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CPNP-PC
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(800) 833-3100
Mailing address
15605 WILLIAM PLZ APT 104, OMAHA, NE 68130-4904
(505) 933-2602
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
113573
NE
Other
Enumeration date
08/13/2020
Last updated
07/06/2021
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