Healthcare Provider Details

I. General information

NPI: 1003348616
Provider Name (Legal Business Name): NADDIA BASKIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2017
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33250 WARREN RD STE 205
WESTLAND MI
48185-2920
US

IV. Provider business mailing address

33250 WARREN RD STE 209
WESTLAND MI
48185-2920
US

V. Phone/Fax

Practice location:
  • Phone: 313-265-7894
  • Fax:
Mailing address:
  • Phone: 810-336-1309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4703111557
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: