NPI 1780191395 · live from the CMS NPI Registry
Grace Baek, MSN, RN, CPNP-AC
Nurse Practitioner, Pediatrics in Detroit, MI. National Provider Identifier 1780191395, active.
NPI record
| NPI | 1780191395 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 3901 Beaubien St, Detroit, MI 48201 |
| Practice phone | 313-745-5437 |
| Mailing address | 700 Newport Pl, Ann Arbor, MI 48103 |
| Enumerated | January 4, 2018 |
| Last updated | January 4, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704286849 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.