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MRS. CARRIE R BAKER FNP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1982000766

Individual Registrant:
MRS. CARRIE R BAKER FNP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4800 COLLEGE ST SE PMG SW WA LACEY FAM MED LACEY, WA 98503-4389 US
Tel: 360-486-2900  Fax: --

Contact information for business:
PO BOX 3360  PORTLAND, OR 97208-3360 US
Tel: --  Fax: --

Registration Information:
NPI: 1982000766
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
WAAP60514139

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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