Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYLA GUANGCO BACALSO
ActiveFamily Nurse Practitioner · MACOMB, MI
Registration Details
- NPI Number
- 1841724929
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 17, 2017 (9.0118778336283 yrs)
- Last Updated
- Feb 4, 2021
- License
-
4704200259 (MI)
Practice Information
- Address
-
50083 MARGARET AVEMACOMB, MI, 480446340Browse MI providers · Browse ZIP 48044
- Phone
- 5864120838
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in MACOMB, MI
| Name | Credential | NPI |
|---|---|---|
| BETH KRISTEN MUTCH | FNP | 1750504684 |
| MRS. VANESSA KONDZIOLKA | NP-C | 1871735563 |
| KIMBERLY FRANCES HODOR | NP-BC | 1518210707 |
| ANGELA VALENTINA VIVIANO | FNP | 1912375122 |
| STEVEN PAVLOSKI | — | 1447611553 |
| ALISSA SOUTHWAY | FNP-C | 1396190328 |
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.