Individual
MIN JOO BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
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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