Doctor Name: | TANYA DENISE BACA |
NPI Number: | 1205032588 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 41519 |
Business Practice Address: | 2550 S Parker Rd Denver, CO - 800141622 |
Business Phone Number: | 7209362590 |
Business Fax Number: | |
Mailing Address: | 2550 S Parker Rd, DENVER |
State: | CO |
Postal Code: | 800141622 |
Phone Number: | 7209362590 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2007 |
NPI Last Update Date: | 09/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 41519 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |