Caroline Sydney Baker, | |
2115 25 Mile Rd, Shelby Twp, MI 48316-1097 | |
(866) 389-2727 | |
Not Available |
Full Name | Caroline Sydney Baker |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2115 25 Mile Rd, Shelby Twp, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043952567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704330661 (Michigan) | Primary |
163W00000X | Registered Nurse | 4704330661 (Michigan) | Secondary |
Entity Name | Minuteclinic Diagnostic Of Michigan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902848617 PECOS PAC ID: 9133123755 Enrollment ID: O20060912000584 |
Mailing Address | Practice Location Address |
---|---|
Caroline Sydney Baker, 52865 Deerwood Dr, Macomb, MI 48042-3421 Ph: (586) 453-7145 | Caroline Sydney Baker, 2115 25 Mile Rd, Shelby Twp, MI 48316-1097 Ph: (866) 389-2727 |
Tanya Lynn Ropes, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15055 22 Mile Rd Ste 3, Shelby Twp, MI 48315 Phone: 586-566-7100 Fax: 586-566-8088 | |
Mrs. Nicole Lynn Stapp, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8180 26 Mile Rd Ste 300, Shelby Twp, MI 48316 Phone: 586-992-8300 Fax: 586-992-9331 | |
Danielle Nicole Dababneh, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13938 Glenwood Dr, Shelby Twp, MI 48315 Phone: 586-484-3136 | |
Wendy Lynn Easton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 46960 Van Dyke Ave, Shelby Twp, MI 48317 Phone: 586-726-9220 | |
Tamara Duff, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54545 Mound Rd, Shelby Twp, MI 48316 Phone: 586-943-7293 | |
Catherine Polito, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46960 Van Dyke Ave, Shelby Twp, MI 48317 Phone: 586-726-9220 |