Healthcare Provider Details

I. General information

NPI: 1639000326
Provider Name (Legal Business Name): DANIELA MARIA BARBAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52696 STAG RIDGE DR
MACOMB MI
48042-3482
US

IV. Provider business mailing address

52696 STAG RIDGE DR
MACOMB MI
48042-3482
US

V. Phone/Fax

Practice location:
  • Phone: 586-822-7300
  • Fax:
Mailing address:
  • Phone: 586-822-7300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704292221NSA250PP
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: