NPI Profile for VANESSA Y BAKER in LAKE PARK, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Obstetrics & Gynecology |
363LX0001X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1861503757 |
|
| Status | Active | |
| Credentials | FNP, WHNP | |
| Entity | Individual | |
| Enumeration date | 08/31/2006 | |
| Last updated | 12/06/2023 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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VANESSA Y BAKER
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