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NPI 1336902220 · live from the CMS NPI Registry

Scott Baker, CNP-ACPNP

Nurse Practitioner, Pediatrics in Minneapolis, MN. National Provider Identifier 1336902220, active.

NPI record

NPI1336902220 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location2525 Chicago Ave, Minneapolis, MN 55404
Practice phone612-813-6117
Mailing address553 Atlantic Hill Dr, Eagan, MN 55123
EnumeratedFebruary 2, 2024
Last updatedFebruary 2, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200X2332718 (MN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.