Carly Jean Baker, | |
510 N Court St, Sparta, WI 54656-1708 | |
(608) 633-3333 | |
Not Available |
Full Name | Carly Jean Baker |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 510 N Court St, Sparta, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710293204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 302971-031 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Carly Jean Baker, 146 Tilson St E, West Salem, WI 54669-1213 Ph: (608) 792-2646 | Carly Jean Baker, 510 N Court St, Sparta, WI 54656-1708 Ph: (608) 633-3333 |
Naomi Leis, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 510 N Court St, Sparta, WI 54656 Phone: 608-633-2817 | |
Jenna Johnson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 510 N Court St, Sparta, WI 54656 Phone: 608-633-2817 | |
Eric Wagner, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 526 W Main St, Sparta, WI 54656 Phone: 608-387-3586 |