Individual
TANYA DENISE BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CNM, PMHNP-BC
Contact information
Practice address
1307 S PINE AVE, OCALA, FL 34471-6543
(352) 368-2238
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(352) 922-3699
(352) 204-1493
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
80473
NM
367A00000X
Advanced Practice Midwife
0017144794
VA
367A00000X
Advanced Practice Midwife
APRN11010885
FL
Other
Enumeration date
06/25/2007
Last updated
01/15/2026
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