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NPI Code Detail

MEDICARE: MS. MARY BARGHELAME NP-C

MEDICARE: MS. MARY BARGHELAME NP-C
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
1163W00000XRegistered NurseRN-88446CO
2363L00000XNurse PractitionerNP-1596CO
3363LF0000XFamily Nurse PractitionerNP-1596CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00944852OTHERCOMEDICARE RAILROAD CARRIER PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134190754
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY BARGHELAME NP-C
Provider Business Mailing Address
First Line : 1455 MAIN ST
Second Line : SUIT 100
City : WINDSOR
State : CO
Zip : 80550-5559
Country : US
Telephone Number : 970-686-3950
Fax Number : 970-686-3960
Provider Business Practice Location Address
First Line : 1455 MAIN ST
Second Line : SUIT 100
City : WINDSOR
State : CO
Zip : 80550-5559
Country : US
Telephone Number : 970-686-3950
Fax Number : 970-686-3960
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 06/15/2020

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Directions to “ MS. MARY BARGHELAME NP-C” Practice Location

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