Teliea Kateri Baker

Individual provider Active NPI Peer Specialist · Bismarck, ND

NPI 1194412205 · NPPES record last updated Apr 19, 2023

Key facts

NPI
1194412205
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
1308 Elbowood LN
Bismarck, ND 58503-5712
Phone
(701) 421-1615
NPI assigned
Apr 19, 2023
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

1308 Elbowood LN
Bismarck, ND 58503-5712

Mailing address

1308 Elbowood LN
Bismarck, ND 58503-5712
Phone (701) 421-1615

Other providers in Bismarck, ND

All providers in Bismarck, ND · Peer Specialist in North Dakota

Sources for this page

Verify at the official NPI Registry.