MYLA GUANGCO BACALSO


Address: 50083 Margaret Ave, Macomb, MI 48044-6340
Phone: 5864120838

MYLA GUANGCO BACALSO (NPI# 1841724929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841724929
Entity Type Individual
Full Name MYLA GUANGCO BACALSO
Other Name MYLA BACALSO DUCUSIN
Practice Address 50083 Margaret Ave
Macomb
MI 48044-6340
Practice Telephone 5864120838
Mailing Telephone 5864120838
Enumeration Date 2017-04-17
Last Update Date 2017-04-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
4704200259 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 50083 MARGARET AVE
City MACOMB
State MI
Zip Code 48044-6340

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265925788 Karen Wetzel Social Worker 47567 Dennis Baert Dr, Macomb, MI 48044 2018-06-09
1225541956 Paul John Andary Jr. Student in an Organized Health Care Education/Training Program 48599 Penrose Ln, Macomb, MI 48044 2017-11-16
1467972869 Theresa Lynn Cipponeri Social Worker 17937 Hall Road, Macomb, MI 48044 2017-06-27
1407389570 Nofal Cholag Pharmacist 50340 Nesting Ridge Dr, Macomb, MI 48044 2017-04-06
1043754914 Magdalena Sosnowski Registered Nurse 47362 Whippoorwill Dr, Macomb, MI 48044 2016-12-13
1558716894 Keith Edward Callewaert Emergency Medical Technician, Paramedic 48301 Tonawonda Dr, Macomb, MI 48044 2016-04-24
1942684741 Isabella Scofield Family Medicine 46591 Romeo Plank Rd Ste 200, Macomb, MI 48044 2015-07-13
1548600984 Katie Marie Rosen Urology 19991 Hall Rd Ste 201, Macomb, MI 48044 2013-06-30
1699118455 Kostyantyn Shkilnyy Massage Therapist 48254 Ellington Drive, Macomb Township, MI 48044 2013-04-11
1962790097 Daniel Agrusa Audiologist 49306 Flint Ct., Macomb, MI 48044 2011-07-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730714262 Kendra Khan Nurse Practitioner 47340 Savannah Dr, Macomb, MI 48044-2795 2020-03-04
1225661267 Michelle Kelli Thomas Nurse Practitioner 48221 Farah Dr, Macomb, MI 48044-2010 2020-02-18
1609424506 Carla E Butcher Nurse Practitioner 51538 Silver Bell Dr, Macomb, MI 48042-4348 2019-09-04
1972162337 Karla Ostaszewski Nurse Practitioner 48153 Virginia Dr, Macomb, MI 48044-4906 2019-06-10
1962960518 Matthew Thomas Maraman Nurse Practitioner 23572 Shepherd Ln, Macomb, MI 48042-5517 2019-03-03
1861957383 John Mrachina Nurse Practitioner 19612 Hudson River Dr, Macomb, MI 48044-4242 2019-02-08
1942765680 Trinia Ann Nappo Nurse Practitioner 49195 Deneweth Farms Dr, Macomb, MI 48044-1553 2019-02-06
1558833632 Carol Hilliker Nurse Practitioner 46326 Sawyer Ln, Macomb, MI 48044-6218 2018-12-29
1295249951 Quinnkeela L Nash-el Nurse Practitioner 21360 John Dr, Macomb, MI 48044-6405 2017-11-16
1104371020 Praisy Jacob Nurse Practitioner 50861 Nesting Ridge Dr, Macomb, MI 48044-1385 2016-08-20
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Competitor

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City MACOMB
Zip Code 48044

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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