IndividualActive
Ellie Baker, PA-C
NPI 1962266619 · Ophthalmic Plastic and Reconstructive Surgery Physician · Fayetteville, AR
Provider details
- NPI number
- 1962266619
- Entity type
- Individual
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PT2024-014 (AR)
Practice location
158 E Sunbridge Dr
Fayetteville, AR 72703-2830
Phone: (479) 222-0983
Fax: (361) 585-4765
Mailing address
158 E Sunbridge Dr
Fayetteville, AR 72703-2830
Registry dates
- Enumerated
- 2024-02-12
- Last updated
- 2024-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.