Individual
RANDI JO BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1976 LIME KILN RD, GREEN BAY, WI 54311-4417
(920) 445-7377
(920) 592-9479
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14170-33
WI
363LF0000X
Family Nurse Practitioner
4704313544
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F05230945
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
08/23/2023
Last updated
01/22/2025
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