Individual provider · Type 1 NPI

Carly Jean Baker

Licensed Practical Nurse · Sparta, WI

NPI number 1710293204 Active

Practice location

510 N Court St
Sparta, WI 54656-1708

Mailing address

146 Tilson St E
West Salem, WI 54669-1213

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X302971-031 (WI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1710293204

Carly Jean Baker's National Provider Identifier is 1710293204, issued on Aug 23, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Sparta, WI. The record was last updated on Aug 23, 2010.