Individual
ANGELA R HARKER-BACCHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 EAST MEDICAL CENTER DRIVE, UNIVERSITY HOSPITAL, ANN ARBOR, MI 48109-5364
(734) 888-2871
Mailing address
18001 E 10 MILE RD, ROSEVILLE, MI 48066-3803
(586) 247-4300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704222689
MI
363L00000X
Nurse Practitioner
Primary
4704222689
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N55170011
MEDICARE PLUS BLUE
MI
01
—
1038198
MCLAREN HEALTH PLAN-MEDICAID
MI
05
—
4775320
—
MI
01
—
5008776940
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
9160241
AETNA
MI
01
—
P00271409
RAILROAD MEDICARE
MI
Enumeration date
07/10/2006
Last updated
12/22/2017
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