Individual provider · NPI-1

Shelly-Anne Marie Baker, RN

Registered Nurse, Diabetes Educator · Portland, OR

NPI number1386132033
StatusActive
Last updated in NPPESApr 27, 2018

Details

NPI
1386132033
Entity type
Individual (NPI-1)
Name
Shelly-Anne Marie Baker
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 27, 2018
Last updated
Apr 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WD0400X Registered Nurse, Diabetes Educator201705501RNORYes

Practice location

4065 N Alaska St
Portland, OR 97203-2001

Phone 214-415-7743

Mailing address

4065 N Alaska St
Portland, OR 97203-2001

Phone 214-415-7743

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