Individual
MS. ASHLEY MARIE BAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18258500
NJ
163W00000X
Registered Nurse
L1-0047415
DE
163W00000X
Registered Nurse
RN646158
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
SP017063
PA
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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