| Doctor Name: | STACEY L MERRITT BAKER |
| NPI Number: | 1043370323 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | RN1007058 |
| Business Practice Address: | 6923 Colburn Dr Annandale, VA - 220036107 |
| Business Phone Number: | 5717300332 |
| Business Fax Number: | |
| Mailing Address: | 6923 Colburn Dr, ANNANDALE |
| State: | VA |
| Postal Code: | 220036107 |
| Phone Number: | 5717300332 |
| Fax Number: | |
| NPI Enumeration Date: | 12/09/2006 |
| NPI Last Update Date: | 05/30/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | RN1007058 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |