Individual provider · Type 1 NPI
Fred Powell Baker Jr., RN-PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Austin, TX
NPI number
1720040157
Active
Practice location
7901 Metropolis Dr # 78744, Va Outpatient Clinic
Austin, TX 78744-3111
Mailing address
7901 Metropolis Dr, Va Outpatient Clinic
Austin, TX 78744-3111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 529711 (TX) |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | RN LIC. NO. 529711 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1720040157
Fred Powell Baker Jr., RN-PMHNP-BC's National Provider Identifier is 1720040157, issued on Apr 3, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Austin, TX. The record was last updated on Jul 23, 2014.