Provider Demographics
NPI:1790197853
Name:BAKER, KRISTEN ANNE (MS, RN, CPNP-PC)
Entity Type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:ANNE
Last Name:BAKER
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Gender:F
Credentials:MS, RN, CPNP-PC
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Mailing Address - Street 1:DEPARTMENT OF PEDIATRICS GASTROENTEROLOGY
Mailing Address - Street 2:WFBMC, MEDICAL CENTER BLVD.
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-716-2512
Mailing Address - Fax:336-713-9387
Practice Address - Street 1:DEPARTMENT OF PEDIATRICS GASTROENTEROLOGY
Practice Address - Street 2:WFBMC, MEDICAL CENTER BLVD.
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-716-2512
Practice Address - Fax:336-713-9387
Is Sole Proprietor?:No
Enumeration Date:2014-05-23
Last Update Date:2015-03-16
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Provider Licenses
StateLicense IDTaxonomies
NC5007068363LP0200X
NYF381546-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics