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Individual

DANA N BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
800 WALNUT ST FL 16, PHILADELPHIA, PA 19107-5176
(215) 829-0101
Mailing address
1 PARKER AVE APT 4202, PHILADELPHIA, PA 19128-4470

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
344473
NY
363LF0000X
Family Nurse Practitioner
Primary
SP024202
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
344473
FNP LICENSE
NY
01
NPPA046732
PA PRESCRIPTIVE AUTHORITY
PA
01
SP024202
CRNP LICENSE
PA
Enumeration date
06/04/2019
Last updated
12/17/2021
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