Victoria Ann Baranowski, LPN
Individual provider Active NPI Licensed Practical Nurse · Wyandotte, MI
NPI 1629535489 · NPPES record last updated Feb 27, 2019
Key facts
- NPI
- 1629535489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703113206 (MI)
- Practice address
- 1275 Electric St
Wyandotte, MI 48192-3313 - Phone
- (760) 881-2120
- NPI assigned
- Feb 27, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 4703113206 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703113206 | MI | Yes |
Addresses
Primary practice location
1275 Electric St
Wyandotte, MI 48192-3313
Mailing address
1275 Electric St
Wyandotte, MI 48192-3313
Phone (760) 881-2120
Other providers in Wyandotte, MI
- Berte J Baker
- Heather Baker
- Balbir Gandhi M.D.P.C
- Sweta Banda
- Sami M Baraka
- Aaron David Barfield
- David Bradford Barker
- Jennifer Barry
- Brittany Barto
- Lindsey Guerriero Battistelli
All providers in Wyandotte, MI · Licensed Practical 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 Feb 27, 2019. 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.