| NPI | 1417625476 | 
|---|---|
| Other Name | NICK BAKER | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA61358792)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| Enumeration Date | 2021-09-02 | 
| Last Update Date | 2023-12-07 |