Healthcare Provider Details

I. General information

NPI: 1558289595
Provider Name (Legal Business Name): LILY BAKER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12631 E 17TH AVE UNIVERSITY OF COLORADO DEPARTMENT OF SURGERY
AURORA CO
80045-2527
US

IV. Provider business mailing address

2998 S LOGAN ST
ENGLEWOOD CO
80113-1636
US

V. Phone/Fax

Practice location:
  • Phone: 303-724-2750
  • Fax:
Mailing address:
  • Phone: 484-477-7815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPN.1002138-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: