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NPI Code Detail

MEDICARE: DANIELLE TAYLOR BAKER PA-C

MEDICARE: DANIELLE TAYLOR BAKER PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1043934003
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE TAYLOR BAKER PA-C
Provider Business Mailing Address
First Line : 4600 38TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-1664
Country : US
Telephone Number : 402-564-7118
Fax Number :
Provider Business Practice Location Address
First Line : 4600 38TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-1664
Country : US
Telephone Number : 402-564-7118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2022
Last Update Date : 01/20/2026

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Directions to “ DANIELLE TAYLOR BAKER PA-C” Practice Location

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