Doctor Name: | MAURA E BAKER |
NPI Number: | 1871588475 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 00320 |
Business Practice Address: | 34 Professional Park Rd Storrs, CT - 06040 |
Business Phone Number: | 8604870002 |
Business Fax Number: | 8604291663 |
Mailing Address: | 34 Professional Park Rd, STORRS |
State: | CT |
Postal Code: | 06040 |
Phone Number: | 8604870002 |
Fax Number: | 8604291663 |
NPI Enumeration Date: | 09/20/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 00320 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |