Individual provider · Type 1 NPI

Doreatha J. Baker, CPNP

Pediatric Nurse Practitioner · St. Paul, MN

NPI number 1003817016 Active

Practice location

347 Smith Ave N
St. Paul, MN 55102-2387

Fax (651) 220-6589

Mailing address

2910 Centre Pointe Dr, 35-121A
Roseville, MN 55113-1182

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR091715-1 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1003817016

Doreatha J. Baker, CPNP's National Provider Identifier is 1003817016, issued on Aug 2, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Paul, MN. The record was last updated on Jul 13, 2026.