Angelique Baca
Nurse Practitioner, Psych/Mental Health in Pueblo, CO. Individual provider (NPI-1).
NPI number1194662007
StatusActive
Last updated in NPPESApr 29, 2026
Details
- NPI
- 1194662007
- Entity type
- Individual (NPI-1)
- Name
- Angelique Baca
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2026
- Certification date
- Apr 14, 2026
- Last updated
- Apr 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | APN.1001921-NP | CO | Yes |
Practice location
536 S Prairie AvePueblo, CO 81005-1724
Phone 719-334-5460
Mailing address
536 S Prairie AvePueblo, CO 81005-1724
Phone 719-334-5460
Other practice locations
6656 Summer Grace St
Colorado Springs, CO 80923-4428
Colorado Springs, CO 80923-4428
Phone 520-612-0466
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