Doctor Name: | CHERRY BAKER |
NPI Number: | 1174509764 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R017604 |
Business Practice Address: | 11 Hills Beach Rd Biddeford, ME - 040059526 |
Business Phone Number: | 2076022358 |
Business Fax Number: | 2076025904 |
Mailing Address: | Po Box 284, BRATTLEBORO |
State: | VT |
Postal Code: | 053020284 |
Phone Number: | 2077842554 |
Fax Number: | 2077775363 |
NPI Enumeration Date: | 12/16/2005 |
NPI Last Update Date: | 02/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R017604 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |