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NPI Code Detail

MEDICARE: ANGELIQUE MICHELE BAKER

MEDICARE: ANGELIQUE MICHELE 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
1163W00000XRegistered NurseRN.389228OH

General Provider Information

NPI Number : 1952019929
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELIQUE MICHELE BAKER
Provider Business Mailing Address
First Line : 2020 CARNEGIE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2337
Country : US
Telephone Number : 216-859-9500
Fax Number :
Provider Business Practice Location Address
First Line : 2020 CARNEGIE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2337
Country : US
Telephone Number : 216-859-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2022
Last Update Date : 11/09/2022

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Directions to “ ANGELIQUE MICHELE BAKER ” Practice Location

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