Stephanie Nielsen Baker, FNP
Nurse Practitioner, Family in St Maries, ID. Individual provider (NPI-1).
NPI number1669990685
StatusActive
Last updated in NPPESAug 30, 2017
Details
- NPI
- 1669990685
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Nielsen Baker
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2017
- Last updated
- Aug 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 56789 | ID | Yes |
Other names
- Stephanie Lee Nielsen (Former Name)
Practice location
229 S 7th StSt Maries, ID 83861-1803
Phone 208-245-2591
Mailing address
229 S 7th StSt Maries, ID 83861-1803
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