Individual
ANNAMARIA BARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 E LOVELL DR, TROY, MI 48085-1521
(248) 843-9205
Mailing address
345 E LOVELL DR, TROY, MI 48085-1521
(248) 843-9204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704285237
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0868419-012-00015
AETNA
GA
Enumeration date
10/23/2021
Last updated
10/23/2021
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