Individual provider · NPI-1

Megan Baker

Family Medicine · Coeur D Alene, ID

NPI number1750257978
StatusActive
Last updated in NPPESDec 15, 2025

Details

NPI
1750257978
Entity type
Individual (NPI-1)
Name
Megan Baker
Sex
Female
Sole proprietor
No
Enumeration date
Oct 14, 2025
Certification date
Dec 15, 2025
Last updated
Dec 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine8371586IDYes
363L00000X Nurse Practitioner8371586ID

Practice location

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

Phone 208-625-6625

Mailing address

5223 Hague Ct
Coeur D Alene, ID 83815-8592

Phone 208-819-2084

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