Breann Nicole Baker, APRN | |
6675 Business Pkwy Ste F, Elkridge, MD 21075-6349 | |
(801) 516-8707 | |
Not Available |
Full Name | Breann Nicole Baker |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 6675 Business Pkwy Ste F, Elkridge, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568908929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 7776134-3102 (Utah) | Secondary |
363L00000X | Nurse Practitioner | 7776134-4405 (Utah) | Primary |
Entity Name | Tooele Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073512364 PECOS PAC ID: 6800700873 Enrollment ID: O20031113000800 |
Mailing Address | Practice Location Address |
---|---|
Breann Nicole Baker, APRN 864 S 370 W, American Fork, UT 84003-3088 Ph: (725) 724-2310 | Breann Nicole Baker, APRN 6675 Business Pkwy Ste F, Elkridge, MD 21075-6349 Ph: (801) 516-8707 |
Mr. Mark M Kelley, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6514 Meadowridge Rd, Elkridge, MD 21075 Phone: 855-247-8474 | |
Mark Abbott, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6030 Marshalee Dr, #202, Elkridge, MD 21075 Phone: 202-656-6031 | |
Sridevi Praveen, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6439 Sedgwick St, Elkridge, MD 21075 Phone: 301-275-1743 | |
Ijeoma Victoria Okonkwo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6480 Old Waterloo Rd, Elkridge, MD 21075 Phone: 410-799-0291 | |
Mrs. Sibree L Vickers, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6675 Business Pkwy Ste F, Elkridge, MD 21075 Phone: 866-799-5886 | |
Mrs. Regina Clare Birch, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6095 Marshalee Dr, Elkridge, MD 21075 Phone: 443-790-1572 | |
Kelly Ann Gibson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6400 Greenfield Rd, #908, Elkridge, MD 21075 Phone: 410-796-5917 |