Healthcare Provider Details

I. General information

NPI: 1609512672
Provider Name (Legal Business Name): PAIGE BARCO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2022
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 FAIRHURST ST
STERLING CO
80751-4523
US

IV. Provider business mailing address

14319 DAKOTA RD
STERLING CO
80751-9087
US

V. Phone/Fax

Practice location:
  • Phone: 970-521-3223
  • Fax:
Mailing address:
  • Phone: 970-412-0254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0997367-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: