Individual provider · Type 1 NPI

Marylou Baca

Nurse Practitioner · Santa Fe, NM

NPI number 1629938873 Active

Practice location

707 Paseo De Peralta
Santa Fe, NM 87501-1922

Fax (505) 989-3536

Other practice locations

  • 7555 Enchanted Hills Blvd NE Ste 104, Rio Rancho, NM 87144-8625 · (505) 771-9833

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X85944 (NM)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1629938873

Marylou Baca's National Provider Identifier is 1629938873, issued on Nov 12, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Santa Fe, NM. The record was last updated on Nov 12, 2025.