Healthcare Provider Details

I. General information

NPI: 1386166932
Provider Name (Legal Business Name): STEVEN BAKER APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2017
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 TRANQUILITY LN
LETCHER KY
41832-8300
US

IV. Provider business mailing address

71 TRANQUILITY LN
LETCHER KY
41832-8300
US

V. Phone/Fax

Practice location:
  • Phone: 606-335-1226
  • Fax: 606-335-1226
Mailing address:
  • Phone: 606-335-1226
  • Fax: 606-335-1226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3011507
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71014370A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3011507
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: