Provider Demographics
NPI:1013186410
Name:BARTON, ANGELICA LOPEZ
Entity Type:Individual
Prefix:MRS
First Name:ANGELICA
Middle Name:LOPEZ
Last Name:BARTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4732 S HIMALAYA CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-6608
Mailing Address - Country:US
Mailing Address - Phone:720-425-2911
Mailing Address - Fax:
Practice Address - Street 1:4732 S HIMALAYA CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-6608
Practice Address - Country:US
Practice Address - Phone:720-425-2911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO40595164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse