Tesha Lanatte Baker, LPN
Individual provider Active NPI Licensed Practical Nurse · Des Arc, AR
NPI 1871265645 · NPPES record last updated Sep 30, 2021
Key facts
- NPI
- 1871265645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L056480 (AR)
- Practice address
- 610 S 2ND St
Des Arc, AR 72040-3034 - Phone
- (870) 256-5669
- NPI assigned
- Sep 30, 2021
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| L056480 | AR | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L056480 | AR | Yes |
Addresses
Primary practice location
610 S 2ND St
Des Arc, AR 72040-3034
Mailing address
610 S 2ND St
Des Arc, AR 72040-3034
Phone (870) 256-5669
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L056480 | Other | AR | STATE BOARD OF NURSING |
Other providers in Des Arc, AR
- Arcare
- Arcare
- City of Des Arc Office of City Clerk
- Des Arc School District
- Diversicare Leasing Corp.
- Angela Howard Gray
- Brittney Heard
All providers in Des Arc, AR · Licensed Practical Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2021. 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.