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NPI Code Detail

MEDICARE: BILLIE JO BAPTISTE NP

MEDICARE: BILLIE JO BAPTISTE NP
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
1363LF0000XFamily Nurse Practitioner990177CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1182502OTHERCOSTATE OF COLORADO

General Provider Information

NPI Number : 1497034862
Entity Type Code : Individual
Provider Name (Legal Business Name) : BILLIE JO BAPTISTE NP
Provider Business Mailing Address
First Line : 3556 TAIL WIND DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80911-3706
Country : US
Telephone Number : 719-645-9132
Fax Number : 719-255-4446
Provider Business Practice Location Address
First Line : 1420 AUSTIN BLUFFS PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-3733
Country : US
Telephone Number : 719-255-4444
Fax Number : 719-255-4446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2011
Last Update Date : 12/19/2016

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