Individual
RAETTA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
200 HOSPITAL DR, SPENCER, WV 25276-1050
(304) 927-6822
(304) 927-6393
Mailing address
200 HOSPITAL DR, SPENCER, WV 25276-1050
(304) 927-6822
(304) 927-6393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0340618-22
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005628
—
WV
Enumeration date
05/05/2006
Last updated
02/05/2021
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