Mark Baravik Fnp LLC
Nurse Practitioner, Family in Aurora, CO. Organization (NPI-2).
NPI number1235683038
StatusActive
Last updated in NPPESNov 11, 2024
Details
- NPI
- 1235683038
- Entity type
- Organization (NPI-2)
- Legal business name
- Mark Baravik Fnp LLC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2016
- Certification date
- Nov 11, 2024
- Last updated
- Nov 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0990941 | CO | Yes |
| 363LF0000X | Nurse Practitioner, Family | APN0990941 | – |
Practice location
1550 S Potomac St Ste 110Aurora, CO 80012-5433
Phone 303-536-5020 · Fax 888-571-6309
Mailing address
1550 S Potomac St Ste 110Aurora, CO 80012-5433
Phone 303-536-5020 · Fax 888-571-6309
Authorized official
Mark Baravik
Owner
3035365020
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