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NPI Profile for MICHELLE A BACON in DEFIANCE, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Critical Care Medicine |
163WC0200X |
| NPI Number | 1225480189 |
|
| Status | Active | |
| Credentials | NP-C (Nurse Practitioner - Certified) | |
| Entity | Individual | |
| Enumeration date | 07/04/2016 | |
| Last updated | 12/19/2016 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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MICHELLE A BACON
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MICHELLE A BACON, NP-C