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Amanda Baker Fnp-C, LLC

Nurse Practitioner, Family in Deer Park, WA. Organization (NPI-2).

NPI number1003563370
StatusActive
Last updated in NPPESJul 10, 2024

Details

NPI
1003563370
Entity type
Organization (NPI-2)
Legal business name
Amanda Baker Fnp-C, LLC
Organization subpart
No
Enumeration date
Mar 7, 2022
Certification date
Jul 10, 2024
Last updated
Jul 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family––Yes

Practice location

23 E Crawford St
Deer Park, WA 99006-5432

Phone 509-485-4663 · Fax 833-661-1784

Mailing address

Po Box 317
Elk, WA 99009-0317

Phone 509-485-4663 · Fax 833-661-1784

Authorized official

Amanda Baker
Owner
5094854663

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