NPI 1104469733 · live from the CMS NPI Registry
Nicole Baker, CPNP-PC
Nurse Practitioner, Pediatrics in Norfolk, VA. National Provider Identifier 1104469733, active.
NPI record
| NPI | 1104469733 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 601 Childrens Ln, Norfolk, VA 23507 |
| Practice phone | 757-668-7703 |
| Enumerated | October 27, 2019 |
| Last updated | October 27, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 0024176636 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.