Individual provider · Type 1 NPI
Dragan Bakovic, BSN
Administrator Registered Nurse · Roseville, CA
NPI number
1104154855
Active
Practice location
1329 Ridgerun Dr
Roseville, CA 95747-7652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 578321 (CA) |
Administrator Registered Nurse: Definition to come...
About NPI 1104154855
Dragan Bakovic, BSN's National Provider Identifier is 1104154855, issued on Nov 18, 2009. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Roseville, CA. The record was last updated on Dec 2, 2022.