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Individual

ENRIQUE CALOCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
4240 HARLAN ST, WHEAT RIDGE, CO 80033-5120
(720) 713-0970
(720) 637-6115
Mailing address
4240 HARLAN ST, WHEAT RIDGE, CO 80033-5120
(720) 713-0970
(720) 637-6115

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN.0994176
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
MED-APRN-LIC-158319
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APN.0994176
LICENSE
CO
01
RN.1657643
LICENSE
CO
01
RXN.0103542
LICENSE
CO
Enumeration date
10/05/2018
Last updated
10/07/2025
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