Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 20835 | CA |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP30007898 | WA |
NPI | 1013105501 |
---|---|
Provider Name | Catherine L Baker |
First Address | Vista, CA 92083-3338 |
Second Address | Long Beach, CA 90815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2007 |
Last Update Date | 20/07/2018 |