Provider Demographics
NPI:1174513063
Name:BAIKIE, PEGGY D (RN PNP NNP)
Entity type:Individual
Prefix:MRS
First Name:PEGGY
Middle Name:D
Last Name:BAIKIE
Suffix:
Gender:F
Credentials:RN PNP NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6327 XAVIER ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-6631
Mailing Address - Country:US
Mailing Address - Phone:303-428-6338
Mailing Address - Fax:720-944-3704
Practice Address - Street 1:2929 W 10TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-3363
Practice Address - Country:US
Practice Address - Phone:720-944-3745
Practice Address - Fax:720-944-3704
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO65102363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO65102OtherRN LICENSE DEPT REGULATOR
CO07651029Medicaid
CORXN 97-106OtherRN PRESCRIPTIVE AUTHORITY