Angeline D Baker, NP
Nurse Practitioner, Family in Coon Rapids, MN. Individual provider (NPI-1).
NPI number1104890771
StatusActive
Last updated in NPPESMar 11, 2021
Details
- NPI
- 1104890771
- Entity type
- Individual (NPI-1)
- Name
- Ms. Angeline D Baker
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2006
- Certification date
- Mar 11, 2021
- Last updated
- Mar 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R1327449 | MN | Yes |
Other names
- Angeline Ehlert (Former Name)
Practice location
4050 Coon Rapids Blvd NwCoon Rapids, MN 55433-2522
Phone 763-236-6037
Mailing address
2261 Fairoak CtAnoka, MN 55303-2076
Phone 651-746-9415
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