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NPI Code Detail

MEDICARE: AARON BUBB AGACNP-BC

MEDICARE: AARON BUBB AGACNP-BC
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
1363LG0600XGerontology Nurse PractitionerAPN.1000734-NPCO
2363L00000XNurse PractitionerAP145939TX
3363L00000XNurse PractitionerAPN.1000734-NPCO
4363LA2100XAcute Care Nurse PractitionerAP145939TX

General Provider Information

NPI Number : 1760003040
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON BUBB AGACNP-BC
Provider Business Mailing Address
First Line : PO BOX 479
Second Line :
City : ERIE
State : CO
Zip : 80516-0479
Country : US
Telephone Number : 518-275-3439
Fax Number :
Provider Business Practice Location Address
First Line : 6500 W 104TH AVE
Second Line :
City : WESTMINSTER
State : CO
Zip : 80020-4189
Country : US
Telephone Number : 720-653-3440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2020
Last Update Date : 10/15/2025

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