Raetta Baker is a Family in Spencer, . Raetta Baker practices all healthcare services and medical treatments related to Family. The NPI Number for Raetta Baker is 1922056449. The last update date is 2021-02-05.
Raetta Baker's current location address is 200 Hospital Dr, Spencer, . You can contact this provider via phone number 3049276822 and fax number 3049276393. The mailing address for Raetta Baker is 200 Hospital Dr, Spencer, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raetta Baker |
|---|---|
| Address | 200 Hospital Dr, Spencer, |
| Phone Number | 3049276822 |
| Fax Number | 3049276393 |
| Sole Proprietor | N |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1922056449 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2021-02-05 |
Provider Mailing Address Detail
| Address | 200 Hospital Dr |
|---|---|
| City | Spencer |
| State | (WV) |
| Post Code | 252761050 |
| Phone Number | 3049276822 |
| Fax Number | 3049276393 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 0340618-22 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3810005628 | WV | -- |
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What is the unique identifier code issued to Raetta Baker by the Centers for Medicare & Medicaid Services?
The Raetta Baker has been assigned the NPI (National Provider Identifier) 1922056449. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Raetta Baker's physical address?
The Raetta Baker is physically located at 200 Hospital Dr, in the city of Spencer, WV, with the postal code 252761050.
What is the Raetta Baker's area of specialization and corresponding taxonomy classification?
The Raetta Baker's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1922056449 to Raetta Baker?
The Raetta Baker received its 1922056449 assignment from the Centers for Medicare & Medicaid Services on 2006-05-05.
When was the information pertaining to Raetta Baker most recently updated or revised?
The details related to Raetta Baker, including its address, specialty, and other relevant information, were last updated or revised on 2021-02-05.