Healthcare Provider Details

I. General information

NPI: 1003401225
Provider Name (Legal Business Name): ELIZABETH N BAPTISTA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2021
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 COCHRANE CIR BLDG 7500
FORT CARSON CO
80913-4613
US

IV. Provider business mailing address

1650 COCHRANE CIR BLDG 7500
FORT CARSON CO
80913-4613
US

V. Phone/Fax

Practice location:
  • Phone: 719-526-7000
  • Fax: 719-524-2258
Mailing address:
  • Phone: 719-526-7000
  • Fax: 719-524-2258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11010997
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: