Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP61103113 | WA |
Y | 363LW0102X | Nurse Practitioner - Women's Health | AP61103113 | WA |
N | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | AP61103113 | WA |
NPI | 1073111902 |
---|---|
Provider Name | Hailey Marie Baker |
First Address | Bellevue, WA 98005-4729 |
Second Address | Bellevue, WA 98004-2091 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2020 |
Last Update Date | 13/10/2020 |