Individual
MAGALI LETIZIA BACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2112 S AZALEA LN, BLOOMINGTON, IN 47401-4595
(812) 837-2645
Mailing address
2112 S AZALEA LN, BLOOMINGTON, IN 47401-4595
(812) 837-2645
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71014941A
IN
363LF0000X
Family Nurse Practitioner
Primary
F02230273
IN
Other
Enumeration date
08/14/2023
Last updated
03/11/2024
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