Doreatha J Baker
Nurse Practitioner - Pediatrics
347 Smith Ave N
Saint Paul
, Minnesota 55102-2387
Doreatha J Baker
Nurse Practitioner - Pediatrics
347 Smith Ave N
Saint Paul
, Minnesota 55102-2387
(651) 855-2310
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Doreatha J Baker
- 2910 Centre Pointe Dr 35-121a
- Roseville, MN
- Zip : 55113-1182
- Fax : (651) 855-2310
- Phone : (651) 855-2327
Second Address
- Doreatha J Baker
- 347 Smith Ave N
- Saint Paul, MN
- Zip : 55102-2387
- Fax : (651) 220-6589
- Phone : (651) 220-6708
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | R091715-1 | MN |
National Provider Identifier
| NPI | 1003817016 |
|---|---|
| Provider Name | Doreatha J Baker |
| First Address | Roseville, MN 55113-1182 |
| Second Address | Saint Paul, MN 55102-2387 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| S49983 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.