Provider Demographics
NPI:1073003018
Name:HOOTEN, CICELY BAUGH (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CICELY
Middle Name:BAUGH
Last Name:HOOTEN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:CICELY
Other - Middle Name:A
Other - Last Name:BAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14221 E 4TH AVE STE 2-126
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8735
Mailing Address - Country:US
Mailing Address - Phone:720-507-4779
Mailing Address - Fax:
Practice Address - Street 1:14221 E 4TH AVE STE 2-126
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8735
Practice Address - Country:US
Practice Address - Phone:720-507-4779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-15
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-RXN.0001802-C-NP363LP0808X
AL1089795363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health