Individual provider · NPI-1

Nicole Baker, CPNP-PC

Nurse Practitioner, Pediatrics · Norfolk, VA

NPI number1104469733
StatusActive
Last updated in NPPESOct 27, 2019

Details

NPI
1104469733
Entity type
Individual (NPI-1)
Name
Nicole Baker
Credential
CPNP-PC
Sex
Female
Sole proprietor
No
Enumeration date
Oct 27, 2019
Last updated
Oct 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics0024176636VAYes

Practice location

601 Childrens Ln
Norfolk, VA 23507-1971

Phone 757-668-7703 · Fax 757-668-8860

Mailing address

601 Childrens Ln
Norfolk, VA 23507-1971

Phone 757-668-7703 · Fax 757-668-8860

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