Healthcare Provider Details

I. General information

NPI: 1417749888
Provider Name (Legal Business Name): BOBBIE VAUX RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 WHEELING ST
AURORA CO
80045-7211
US

IV. Provider business mailing address

6648 S CLAYTON ST
CENTENNIAL CO
80121-2925
US

V. Phone/Fax

Practice location:
  • Phone: 303-949-3677
  • Fax:
Mailing address:
  • Phone: 303-949-3677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number1647833
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: