Basic Information
Provider Information
NPI: 1629386610
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAKER
FirstName: TONIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: C.N.M./ A.R.N.P
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 3649
Address2:  
City: SPOKANE
State: WA
PostalCode: 992203649
CountryCode: US
TelephoneNumber: 5098382531
FaxNumber:  
Practice Location
Address1: 910 W 5TH AVE
Address2: SUITE 300
City: SPOKANE
State: WA
PostalCode: 992042966
CountryCode: US
TelephoneNumber: 5098382531
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/23/2010
LastUpdateDate: 01/19/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000XAP60184093WAY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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