Individual provider · Type 1 NPI

Michael Bacani

Case Management Registered Nurse · Deer Park, WA

NPI number 1912660150 Active

Practice location

6225 W Mason Rd
Deer Park, WA 99006-9529

Mailing address

224 N Phillips Ave Ste 102
Sioux Falls, SD 57104-6062

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400XRN00173450 (WA)

Case Management Registered Nurse: Definition to come...

About NPI 1912660150

Michael Bacani's National Provider Identifier is 1912660150, issued on Oct 14, 2021. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Deer Park, WA. The record was last updated on Oct 14, 2021.