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NPI Code Detail

MEDICARE: VALENCIA BAUTISTA RN

MEDICARE:   VALENCIA  BAUTISTA  RN
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 Nurse1696753CO

General Provider Information

NPI Number : 1518655851
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALENCIA BAUTISTA RN
Provider Business Mailing Address
First Line : 4430 S ADAMS COUNTY PKWY
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-8222
Country : US
Telephone Number : 303-220-9200
Fax Number :
Provider Business Practice Location Address
First Line : 4430 S ADAMS COUNTY PKWY
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-8222
Country : US
Telephone Number : 303-220-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2023
Last Update Date : 01/06/2025

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