Individual provider · NPI-1

Michael William Baielli

Student in an Organized Health Care Education/Training Program · Tempe, AZ

NPI number1821938739
StatusActive
Last updated in NPPESMar 30, 2026

Details

NPI
1821938739
Entity type
Individual (NPI-1)
Name
Mr. Michael William Baielli
Sex
Male
Sole proprietor
No
Enumeration date
Mar 30, 2026
Certification date
Mar 30, 2026
Last updated
Mar 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

620 E Mckellips Rd Apt 130
Tempe, AZ 85288-1356

Phone 208-917-0042

Mailing address

620 E Mckellips Rd Apt 130
Tempe, AZ 85288-1356

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