Provider Demographics
NPI:1356886287
Name:BABY & ME
Entity type:Organization
Organization Name:BABY & ME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:
Authorized Official - Last Name:MYLES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:414-702-8339
Mailing Address - Street 1:500 W SILVER SPRING DR
Mailing Address - Street 2:K200
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-5051
Mailing Address - Country:US
Mailing Address - Phone:414-847-6315
Mailing Address - Fax:
Practice Address - Street 1:500 W SILVER SPRING DR
Practice Address - Street 2:K200
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53217-5051
Practice Address - Country:US
Practice Address - Phone:414-847-6315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-02
Last Update Date:2017-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization