# ANGELA R HARKER-BACCHUS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346274727
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 4704222689 | MI | — |
| 363L00000X | Nurse Practitioner | 4704222689 | MI | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 12/22/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0N55170011 | MEDICARE PLUS BLUE | MI |
| 01 | — | 1038198 | MCLAREN HEALTH PLAN-COMMERCIAL | MI |
| 05 | — | 4775320 | — | MI |
| 01 | — | 5008776940 | BLUE CROSS BLUE SHIELD OF MICHIGAN | MI |
| 01 | — | 9160241 | AETNA | MI |
| 01 | — | P00271409 | RAILROAD MEDICARE | MI |