NPI 1245982644 · live from the CMS NPI Registry
Mayra L Baca, PNP
Nurse Practitioner, Pediatrics in Aurora, CO. National Provider Identifier 1245982644, active.
NPI record
| NPI | 1245982644 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 13123 E 16th Ave, Aurora, CO 80045 |
| Practice phone | 720-777-1234 |
| Mailing address | Po Box 110429, Aurora, CO 80042 |
| Enumerated | January 26, 2022 |
| Last updated | March 3, 2022 |
| Sole proprietor | No |
| Other names | Mayra Baca Holguin |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | APN.0997275-NP (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.