Individual provider · Type 1 NPI

Grayson Robert Baker, NP

Gerontology Nurse Practitioner · Byron Center, MI

NPI number 1144812561 Active

Practice location

7751 Byron Center Ave SW Ste C
Byron Center, MI 49315-8001

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704330748 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1144812561

Grayson Robert Baker, NP's National Provider Identifier is 1144812561, issued on Feb 8, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Byron Center, MI. The record was last updated on Apr 21, 2021.