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Dr. Nicole Baker, MD
Geriatric Psychiatry Physician in Mountain Home Afb, Idaho
NPI 1689011462

Nicole Baker is a Geriatric Psychiatry Physician based in Mountain Home Afb, ID and is specialized in Geriatric Psychiatry. Nicole Baker practices in Mountain Home Afb, ID and has the professional credentials of MD. The NPI Number for Nicole Baker is 1689011462 and holds a License No. (Idaho).

The current practice location address for Nicole Baker is 90 Hope Drive, Mountain Home Afb, ID and can be reached out via phone at 208-828-7580.

Location: 90 Hope Drive, Mountain Home Afb, ID, 83648-1057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689011462
Provider Name
Nicole Baker
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
90 Hope Drive, Mountain Home Afb, ID, 83648-1057
Phone Number
208-828-7580
Fax Number
Provider Enumeration Date
06/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
29087 01 NE STATE OF NEBRASKA DEPT. OF HHS, DIVISION OF PUBLIC HEALTH
ACKNOWLEDGEMENT LETT 01 OH OHIO STATE MEDCAL BOARD
institution
Provider Business Practice Location Address Details
Address
90 Hope Drive
City
Mountain Home Afb
State
Idaho
Zip
83648-1057
Phone Number
208-828-7580
Fax Number
person
Provider Business Mailing Address Details
Address
90 Hope Drive
City
Mountain Home Afb
State
Idaho
Zip
83648-1057
Phone Number
208-828-7580
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Geriatric Psychiatry
Taxonomy
2084P0805X
License No.
29087 (Nebraska)
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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