Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | APN.0990165-NP | CO |
NPI | 1053603357 |
---|---|
Provider Name | Ms. Wendy Suzanne Baerren |
First Address | Littleton, CO 80123-3029 |
Second Address | Colorado Springs, CO 80923-2601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2011 |
Last Update Date | 20/12/2021 |