Amanda Baker Fnp-c, Llc | |
23 E Crawford St Deer Park WA 99006-5432 | |
(509) 485-4663 | |
(509) 399-7883 |
Full Name | Amanda Baker Fnp-c, Llc |
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Speciality | Clinic/Center |
Location | 23 E Crawford St, Deer Park, Washington |
Authorized Official Name and Position | Amanda Baker (OWNER) |
Authorized Official Contact | 5094854663 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amanda Baker Fnp-c, Llc Po Box 317 Elk WA 99009-0317 Ph: (509) 435-1203 | Amanda Baker Fnp-c, Llc 23 E Crawford St Deer Park WA 99006-5432 Ph: (509) 485-4663 |
NPI Number | 1003563370 |
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Provider Enumeration Date | 03/07/2022 |
Last Update Date | 03/07/2022 |
Medicare PECOS PAC ID | 9638556442 |
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Medicare Enrollment ID | O20220517002398 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003563370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Amanda Lee Baker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326708421 PECOS PAC ID: 0547647356 Enrollment ID: I20220517002451 |
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