Ann Marie Baker, NNP

Individual provider Active NPI Neonatal Nurse Practitioner · Maplewood, MN

NPI 1629176136 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1629176136
Entity type
Individual (NPI type 1)
Primary specialty
Neonatal Nurse Practitioner 363LN0000X
License
R096486-1 (MN)
Practice address
1575 Beam Ave
Maplewood, MN 55109-1126
Phone
(651) 232-7580
NPI assigned
Sep 20, 2006
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)
Yes

State licenses

LicenseStateTypeSpecialty
R096486-1MNMDNeonatal Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X R096486-1 MN Yes

Addresses

Primary practice location

1575 Beam Ave
Maplewood, MN 55109-1126

Mailing address

1036 Mercury Dr W
Shoreview, MN 55126-5908
Phone (651) 483-2216

Other providers in Maplewood, MN

All providers in Maplewood, MN · Neonatal Nurse Practitioner in Minnesota

Sources for this page

Verify at the official NPI Registry.