Most Relevant Information
Provider Data
| NPI Number: | 1003050808 |
| Provider Name: | KATHERYN ANN BAKER |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC1500X |
| Specialty: | Registered Nurse |
| License Number: | R121393 |
Most Important Dates
| Enumeration Date: | 04/23/2009 |
| Last Updated: | 04/23/2009 |
Provider Practice Location
213 GARRISONWAY
FRUITLAND
MD
21826
Practice Location Phone/Fax
| Phone: | 5024135841 |
| Fax: |
Provider Mailing Location
C CO 302 BSB ATTN: TMC
UNIT 15609
APO
AP
96224
Provider Mailing Phone/Fax
| Phone: | 5024135841 |
| Fax: |