Brent J Baese, AGNP-C

NPI #1265252449 in Portage, Michigan

Provider Information

NPI Number
1265252449
Entity Type
Individual
Name
Brent J Baese, AGNP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Primary Care
Credential
AGNP-C
Enumeration Date
Oct 14, 2024
Last Updated
Oct 14, 2024

Practice Location

Address
4667 FOX VALLEY DR APT 1B
ZIP Code
49024-8149
Phone
(269) 251-4384

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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