Individual
MARY S BAECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205-5423
(303) 861-3640
Mailing address
1375 E 20TH AVE, DENVER, CO 80205-5423
(303) 861-3166
(303) 861-3390
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
65329
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000135
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/05/2007
Last updated
07/08/2007
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