Provider Demographics
NPI:1245654847
Name:BAKER, BRIDGET MILENE (DNP, ARNP, FNP-BC, P)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:MILENE
Last Name:BAKER
Suffix:
Gender:
Credentials:DNP, ARNP, FNP-BC, P
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:MILENE
Other - Last Name:PARIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, ARNP, FNP-BC, P
Mailing Address - Street 1:709 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:IA
Mailing Address - Zip Code:52057-1526
Mailing Address - Country:US
Mailing Address - Phone:563-927-7777
Mailing Address - Fax:563-927-7963
Practice Address - Street 1:709 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:IA
Practice Address - Zip Code:52057-1526
Practice Address - Country:US
Practice Address - Phone:563-927-3232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-18
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG172605363LP0808X
IAA124405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health