Individual provider · Type 1 NPI
Shane Baker, MS, APRN, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Rockford, IL
NPI number
1477466571
Active
Practice location
419 John St Apt 101
Rockford, IL 61103-7052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209035573 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1477466571
Shane Baker, MS, APRN, PMHNP's National Provider Identifier is 1477466571, issued on Sep 28, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rockford, IL. The record was last updated on Sep 28, 2026.