Individual provider · Type 1 NPI
Myla Guangco Bacalso
Family Nurse Practitioner · Macomb, MI
NPI number
1841724929
Active
Practice location
50083 Margaret Ave
Macomb, MI 48044-6340
Mailing address
26901 Beaumont Blvd
Southfield, MI 48033-3849
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704200259 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1841724929
Myla Guangco Bacalso's National Provider Identifier is 1841724929, issued on Apr 17, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Macomb, MI. The record was last updated on Feb 4, 2021.