Elizabeth Baldry
Individual provider Active NPI Registered Nurse · Grand Rapids, MI
NPI 1508552449 · NPPES record last updated Apr 13, 2023
Key facts
- NPI
- 1508552449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704244265 (MI)
- Practice address
- 5300 Patterson Ave SE Ste 100E
Grand Rapids, MI 49512-5663 - Phone
- (616) 222-5601
- NPI assigned
- Apr 13, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704244265 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxim Healthcare Services, Inc. | Current |
Accepting new patients |
Locations
5300 Patterson Ave SE
Ste 100E
Grand Rapids, MI 49512
Phone (616) 222-5601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704244265 | MI | Yes |
Addresses
Primary practice location
5300 Patterson Ave SE Ste 100E
Grand Rapids, MI 49512-5663
Mailing address
5300 Patterson Ave SE Ste 100E
Grand Rapids, MI 49512-5663
Phone (616) 222-5601
Other providers in Grand Rapids, MI
- Chloe Leeann Balanda
- Thomas Nicholas Balaskas
- Peyton Grace Balavitch
- Megan Balcom
- Nicholas Baldes
- Laura J Baldus
- Baldwin Family Health Care
- Autumn Sophia Baldwin
- Carol Marie Baldwin
- Danielle Marie Baldwin
All providers in Grand Rapids, MI · Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.