Individual
MICHELLE H BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
10211 ALM ST, RALEIGH, NC 27617-8221
(919) 385-1160
(919) 385-1186
Mailing address
236 CANDIA LN, CARY, NC 27519-8810
(919) 599-6238
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
206995
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004702
—
NC
Enumeration date
03/14/2007
Last updated
06/26/2023
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