Provider Demographics
NPI:1619456936
Name:BAKER, SUMMER ALICE (RN)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:ALICE
Last Name:BAKER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5219 S EVERETT PL
Mailing Address - Street 2:
Mailing Address - City:SAND SPRINGS
Mailing Address - State:OK
Mailing Address - Zip Code:74063-4599
Mailing Address - Country:US
Mailing Address - Phone:918-605-2527
Mailing Address - Fax:
Practice Address - Street 1:5219 S EVERETT PL
Practice Address - Street 2:
Practice Address - City:SAND SPRINGS
Practice Address - State:OK
Practice Address - Zip Code:74063-4599
Practice Address - Country:US
Practice Address - Phone:918-605-2527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-08
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK90648163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse