MEDICARE: ALYCIA BAKER

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	163W00000X	Registered Nurse	RN9288258	FL

General Provider Information

NPI Number	:	1891666467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYCIA BAKER

Provider Business Mailing Address
First Line	:	4522 W VILLAGE DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-3429
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4522 W VILLAGE DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-3429
Country	:	US
Telephone Number	:	650-204-0821
Fax Number	:

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

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	09/16/2025

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Directions to “ ALYCIA BAKER ” Practice Location

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