Individual provider · Type 1 NPI
Miranda Alexander Bazemore, FNP-C
Family Nurse Practitioner · Castle Rock, CO
NPI number
1194480541
Active
Practice location
6380 Promenade Pkwy
Castle Rock, CO 80108-1909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | C-APN.0106561 (CO) |
| Nurse Practitioner | 363L00000X | GAA-NP000506 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194480541
Miranda Alexander Bazemore, FNP-C's National Provider Identifier is 1194480541, issued on Nov 1, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Castle Rock, CO. The record was last updated on Aug 4, 2026.