Healthcare Provider Details

I. General information

NPI: 1689587693
Provider Name (Legal Business Name): MALINDA BAKER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 28TH AVENUE DR
MOLINE IL
61265-5536
US

IV. Provider business mailing address

3900 28TH AVENUE DR
MOLINE IL
61265-5536
US

V. Phone/Fax

Practice location:
  • Phone: 309-281-6000
  • Fax:
Mailing address:
  • Phone: 309-281-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberA193838
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: