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Individual

ALEXANDRIA RAE BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3000 PARK PLACE DR STE 108, WASHINGTON, PA 15301-2068
(412) 435-4648
Mailing address
1400 MAIN ST APT 446, CANONSBURG, PA 15317-6826
(740) 359-5409

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP028476
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/08/2023
Last updated
04/29/2025
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