Dalton Dean Baker
Nurse Practitioner, Family in Kirksville, MO. Individual provider (NPI-1).
NPI number1326552191
StatusActive
Last updated in NPPESSep 9, 2020
Details
- NPI
- 1326552191
- Entity type
- Individual (NPI-1)
- Name
- Dalton Dean Baker
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2017
- Certification date
- Sep 9, 2020
- Last updated
- Sep 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | A149860 | IA | Yes |
| 163W00000X | Registered Nurse | 2013022156 | MO |
Practice location
512 N New StKirksville, MO 63501-3167
Phone 660-988-4723
Mailing address
512 N New StKirksville, MO 63501-3167
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All 28 Family Nurse Practitioner providers in Kirksville · All 905 providers in Kirksville
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