MANISA PHOPHAIRAT BAKER - Advanced Practice Nurse License in Indiana | # 277002006

MANISA PHOPHAIRAT BAKER

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277002006

License Status

ACTIVE

Business

N

First Name

MANISA

Middle

PHOPHAIRAT

Last Name

BAKER

Business Name

MANISA PHOPHAIRAT BAKER

Original Issue Date

06/06/2022

Effective Date

03/25/2024

Expiration Date

05/31/2026

State

IN

Ever Disciplined

N

LastModifiedDate

03/02/2026