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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENT J BAESE, AGNP-C

Active

BRENT J BAESE, AGNP-C is a Primary Care Nurse Practitioner healthcare provider located in PORTAGE, Michigan. NPI 1265252449 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · PORTAGE, MI

Registration Details

NPI Number
1265252449
Provider Type
Individual
Gender
Male
NPI Issued
Oct 14, 2024 (1.8014562046925 yrs)
Last Updated
Oct 14, 2024
License
AG03240063 (MI)

Practice Information

Address
4667 FOX VALLEY DR APT 1B
PORTAGE, MI, 490248149
Browse MI providers · Browse ZIP 49024
Phone
2692514384
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in PORTAGE, MI

Name Credential NPI
SHERRILYN HILL FNP-C 1457612343
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.