Individual provider · Type 1 NPI

Grace Baek, MSN, RN, CPNP-AC

Pediatric Nurse Practitioner · Detroit, MI

NPI number 1780191395 Active

Practice location

3901 Beaubien St
Detroit, MI 48201-2119

Call (313) 745-5437 Map

Mailing address

700 Newport Pl
Ann Arbor, MI 48103-3648

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	4704286849 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1780191395

Grace Baek, MSN, RN, CPNP-AC's National Provider Identifier is 1780191395, issued on Jan 4, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Detroit, MI. The record was last updated on Jan 4, 2018.