MIRANDA ALEXANDER BAZEMORE FNP-C
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1194480541- Provider Type
- Individual Provider (NPI-1)
- Credentials
- FNP-C
- Status
- Active
Contact & Location
- Address
- 6380 PROMENADE PKWY, CASTLE ROCK, CO, 801081909
- Phone
- (720) 734-1126
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: CO #C-APN.0106561
Nurse Practitioner
License: GA #GAA-NP000506