MEDICARE: BABY & ME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1356886287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BABY & ME

Provider Business Mailing Address
First Line	:	500 W SILVER SPRING DR
Second Line	:	K200
City	:	MILWAUKEE
State	:	WI
Zip	:	53217-5051
Country	:	US
Telephone Number	:	414-847-6315
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 W SILVER SPRING DR
Second Line	:	K200
City	:	MILWAUKEE
State	:	WI
Zip	:	53217-5051
Country	:	US
Telephone Number	:	414-847-6315
Fax Number	:

Authorized Official
Title or Position	:	CASE COORDINATOR
Name	:	MRS. NIKKI MYLES
Credential	:	RN
Telephone Number	:	414-702-8339

Provider Enumeration Date	:	01/02/2017
Last Update Date	:	01/02/2017

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Directions to “BABY & ME ” Practice Location

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