Patty Jean Baker

Individual provider Active NPI School Registered Nurse · Lincoln, NE

NPI 1801396155 · NPPES record last updated Feb 13, 2018

Key facts

NPI
1801396155
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
31219 (NE)
Practice address
5905 O St
Lincoln, NE 68510-2235
Phone
(402) 436-1655
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
31219NEMDDiagnostic Radiology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 31219 NE Yes

Addresses

Primary practice location

5905 O St
Lincoln, NE 68510-2235

Mailing address

5905 O St
Lincoln, NE 68510-2235

Other providers in Lincoln, NE

All providers in Lincoln, NE · School Registered Nurse in Nebraska

Sources for this page

Verify at the official NPI Registry.