Individual provider · Type 1 NPI

Madalyn Rose Baczkowski, DNP, AGPCNP-BC

Nurse Practitioner · Royal Oak, MI

NPI number 1114603560 Active

Practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Call (248) 551-4400 Map

Mailing address

26901 Beaumont Blvd
Southfield, MI 48033-3849

Other practice locations

  • 11883 Trailwood Rd, Plymouth, MI 48170-3730 · (248) 928-4851

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X4704330114 (MI)
Primary Care Nurse Practitioner 363LP2300X4704330114 (MI)
Nurse Practitioner Primary 363L00000X4704330114 (MI)
Adult Health Nurse Practitioner 363LA2200X4704330114 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

1,715 other providers at this address

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About NPI 1114603560

Madalyn Rose Baczkowski, DNP, AGPCNP-BC's National Provider Identifier is 1114603560, issued on Jun 22, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Royal Oak, MI. The record was last updated on May 20, 2025.