Tesha Lanatte Baker, Lpn
Licensed Practical Nurse in Des Arc, AR. Individual provider (NPI-1).
NPI number1871265645
StatusActive
Last updated in NPPESSep 30, 2021
Details
- NPI
- 1871265645
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tesha Lanatte Baker
- Credential
- Lpn
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2021
- Certification date
- Sep 30, 2021
- Last updated
- Sep 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | L056480 | AR | Yes |
Practice location
610 S 2nd StDes Arc, AR 72040-3034
Phone 870-256-5669
Mailing address
610 S 2nd StDes Arc, AR 72040-3034
Phone 870-256-5669
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