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NPI Code Detail

MEDICARE: MARY MARIE BAKER APRN-CNP

MEDICARE: MARY MARIE BAKER APRN-CNP
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
1163W00000XRegistered NurseRN235616OH
2363LF0000XFamily Nurse PractitionerAPRN.CNP.020955OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962930677
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY MARIE BAKER APRN-CNP
Provider Business Mailing Address
First Line : PO BOX 7527
Second Line :
City : DUBLIN
State : OH
Zip : 43017-0727
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2030 STRINGTOWN RD
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-3993
Country : US
Telephone Number : 614-883-0160
Fax Number : 614-883-0157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2017
Last Update Date : 03/05/2026

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Directions to “ MARY MARIE BAKER APRN-CNP” Practice Location

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