Individual
NICOLE TARA BAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
DR.0073683
CO
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
242642
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
242642
MA
Other
Enumeration date
09/14/2007
Last updated
06/27/2024
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