Individual provider · NPI-1

Tieneka Mary Baker, D.O.

Obstetrics & Gynecology · Albuquerque, NM

NPI number1386950277
StatusActive
Last updated in NPPESSep 26, 2025

Details

NPI
1386950277
Entity type
Individual (NPI-1)
Name
Tieneka Mary Baker
Credential
D.O.
Sex
Female
Sole proprietor
No
Enumeration date
Aug 30, 2010
Certification date
Sep 26, 2025
Last updated
Sep 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & GynecologyA-2346-20NMYes
207VG0400X Obstetrics & Gynecology, Gynecology0102203053VA
207V00000X Obstetrics & Gynecology0102203053VA

Other names

  • Tieneka Mary Bulthuis (Former Name)

Practice location

2211 Lomas Blvd Ne
Albuquerque, NM 87106-2719

Phone 505-272-4051

Mailing address

800 Bradbury Dr Se Ste 116
Albuquerque, NM 87106-4310

Phone 505-272-1476

Other practice locations

3551 Roger Brooke Dr Dept Of
Fort Sam Houston, TX 78234-4504

Phone 210-916-2168

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