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1760452627

NPI Code Detail

MEDICARE: INEZ A BAKER-WESTBROCK WHCNP

MEDICARE: INEZ A BAKER-WESTBROCK WHCNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	R081312-9	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1067913	OTHER		AMERICA'S PPO (ARAZ)
2	HP30390	OTHER		HEALTH PARTNERS
3	17F90BA	OTHER	MN	BCBS MN
4	07-00941	OTHER		MEDICA
5	34799	OTHER		SIOUX VALLEY HEALTH PLAN
6	1023192	OTHER		PREFERRED ONE
7	127764	OTHER		UCARE

General Provider Information

NPI Number	:	1760452627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INEZ A BAKER-WESTBROCK WHCNP

Provider Business Mailing Address
First Line	:	9530 JOSHUA CT
Second Line	:
City	:	CHISAGO CITY
State	:	MN
Zip	:	55013-9781
Country	:	US
Telephone Number	:	651-257-9454
Fax Number	:

Provider Business Practice Location Address
First Line	:	1965 FORD PKWY
Second Line	:	1165 ARCADE ST ST. PAUL MN 55106
City	:	SAINT PAUL
State	:	MN
Zip	:	55116-1923
Country	:	US
Telephone Number	:	651-698-2406
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	07/08/2007

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Directions to “ INEZ A BAKER-WESTBROCK WHCNP” Practice Location

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