Individual
MIN JOO BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11 FRIENDSHIP ST, NEWPORT, RI 02840-2299
(401) 845-3810
Mailing address
91 JOHN KESSON LN, MIDDLETOWN, RI 02842-4654
(617) 935-3101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN03984
RI
363LF0000X
Family Nurse Practitioner
APRN03984
RI
Other
Enumeration date
04/03/2024
Last updated
10/16/2024
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