Nicole Lynn Baker, RPH
Individual provider Active NPI Pharmacist · Rock Springs, WY
NPI 1083946594 · NPPES record last updated Feb 8, 2010
Key facts
- NPI
- 1083946594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2673 (WY)
- Practice address
- 2450 Foothill Blvd
Rock Springs, WY 82901-5612 - Phone
- (307) 362-7990
- Fax
- (307) 382-7873
- NPI assigned
- Feb 8, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2673 | WY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2673 | WY | Yes |
Addresses
Primary practice location
2450 Foothill Blvd
Rock Springs, WY 82901-5612
Mailing address
2450 Foothill Blvd
Rock Springs, WY 82901-5612
Phone (307) 362-7990
Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.