person
Song I Baek
Family Nurse Practitioner in Elkhart, Indiana
NPI 1679020119

Song I Baek is a Family Nurse Practitioner based in Elkhart, IN and is specialized in Family. Song I Baek practices in Elkhart, IN. The NPI Number for Song I Baek is 1679020119 and holds a License No. 71006583A (Indiana).

The current practice location address for Song I Baek is 1004 Parkway Ave Ste E, Elkhart, IN and can be reached out via phone at 574-218-7131.

Location: 1004 Parkway Ave Ste E, Elkhart, IN, 46516-9349
person
Provider Profile Details
NPI Number
1679020119
Provider Name
Song I Baek
Credential
Provider Entity Type
Individual
Gender
Female
Address
1004 Parkway Ave Ste E, Elkhart, IN, 46516-9349
Phone Number
574-218-7131
Fax Number
Provider Enumeration Date
09/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1004 Parkway Ave Ste E
City
State
Zip
46516-9349
Phone Number
574-218-7131
Fax Number
person
Provider Business Mailing Address Details
Address
1004 Parkway Ave Ste E
City
State
Zip
46516-9349
Phone Number
574-218-7131
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71006583A (Indiana)
Definition
Definition to come...
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