Individual
MRS. THERESA MARIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 11TH ST, NIAGARA FALLS, NY 14301-1201
(716) 439-7400
Mailing address
59 PARK AVE, LOCKPORT, NY 14094-2758
(716) 439-7400
(716) 439-7521
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
475188--01
NY
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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