Baker, Shannon Lee

Baker, Shannon Lee is an individual health care provider with primary practice located at 3200 Providence Dr , Anchorage AK 99508. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Baker, Shannon Lee can be contacted via phone (907) 261-3641.

Contact Information

Primary practice address
3200 Providence Dr Anchorage AK 99508
Phone: (907) 261-3641
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 877 Alaska

Profile Details

NPI number 1558432773
LBN Legal business name Baker, Shannon Lee
Credentials MSN, ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Mar 1st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558432773 NPPES
Alaska MEDICAID NP5538

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