Tena Corene Baker, RN

Individual provider Active NPI Registered Nurse · Pearl Harbor, HI

NPI 1457785537 · NPPES record last updated Aug 26, 2013

Key facts

NPI
1457785537
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R-146546-6 (MN)
Practice address
480 Central Ave
Naval Health Clinc
Pearl Harbor, HI 96860-4908
Phone
(808) 471-1866
Fax
(808) 471-0918
NPI assigned
Aug 26, 2013
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 Nurse

State licenses

LicenseStateTypeSpecialty
R-146546-6MNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R-146546-6 MN Yes

Addresses

Primary practice location

480 Central Ave
Naval Health Clinc
Pearl Harbor, HI 96860-4908

Mailing address

1315 Melody LN
Alexandria, MN 56308-1255
Phone (320) 219-9782

Other providers in Pearl Harbor, HI

All providers in Pearl Harbor, HI · Registered Nurse in Hawaii

Sources for this page

Verify at the official NPI Registry.