NPI Profile for SHANNON N BAKER in GREENFIELD, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Critical Care Medicine |
163WC0200X | |||
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1104412535 |
|
| Status | Active | |
| Credentials | FNP-BC (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 12/20/2020 | |
| Last updated | 10/21/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHANNON N BAKER
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