| Carly Jean Baker, | |
|
510 N Court St, Sparta, WI 54656-1708 | |
| (608) 633-3333 | |
| Not Available |
| Full Name | Carly Jean Baker |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 510 N Court St, Sparta, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710293204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 302971-031 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Jean Baker, 146 Tilson St E, West Salem, WI 54669-1213 Ph: (608) 792-2646 | Carly Jean Baker, 510 N Court St, Sparta, WI 54656-1708 Ph: (608) 633-3333 |
Naomi Leis, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 510 N Court St, Sparta, WI 54656 Phone: 608-633-2817 | |
Jenna Johnson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 510 N Court St, Sparta, WI 54656 Phone: 608-633-2817 | |
Eric Wagner, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 526 W Main St, Sparta, WI 54656 Phone: 608-387-3586 |