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NPI Code Detail

MEDICARE: MRS. PEGGY D BAIKIE RN PNP NNP

MEDICARE: MRS. PEGGY D BAIKIE RN PNP NNP
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
1363L00000XNurse Practitioner65102CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
165102OTHERCORN LICENSE DEPT REGULATOR
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3RXN 97-106OTHERCORN PRESCRIPTIVE AUTHORITY

General Provider Information

NPI Number : 1174513063
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PEGGY D BAIKIE RN PNP NNP
Provider Business Mailing Address
First Line : 6327 XAVIER ST
Second Line :
City : ARVADA
State : CO
Zip : 80003-6631
Country : US
Telephone Number : 303-428-6338
Fax Number : 720-944-3704
Provider Business Practice Location Address
First Line : 2929 W 10TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80204-3363
Country : US
Telephone Number : 720-944-3745
Fax Number : 720-944-3704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 05/29/2012

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