Heather Bakken

NPI #1477031664 in Portage, Michigan

Provider Information

NPI Number: 1477031664
Entity Type: Individual
Name: Heather Bakken
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Jul 31, 2018
Last Updated: Jul 31, 2018

Practice Location

Address: 524 W CENTRE AVE
City: Portage
State: Michigan
ZIP Code: 49024-5306
Phone: (269) 324-1180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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