Individual provider · Type 1 NPI

Angelique Baca

Psychiatric/Mental Health Nurse Practitioner · Pueblo, CO

NPI number 1194662007 Active

Practice location

536 S Prairie Ave
Pueblo, CO 81005-1724

Call (719) 334-5460 Map

Other practice locations

  • 6656 Summer Grace St, Colorado Springs, CO 80923-4428 · (520) 612-0466

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPN.1001921-NP (CO)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1194662007

Angelique Baca's National Provider Identifier is 1194662007, issued on Apr 29, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pueblo, CO. The record was last updated on Apr 29, 2026.