Individual
MRS. REBECCA THATE BALDASARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1301 RIVERSIDE AVE, FORT COLLINS, CO 80524-4374
(970) 888-4070
Mailing address
4603 DUSTY SAGE CT UNIT 4, FORT COLLINS, CO 80526-3753
(970) 420-3778
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.1001737-NP
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CO
Other
Enumeration date
01/14/2026
Last updated
03/18/2026
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