Provider Demographics
NPI:1073756896
Name:BAYNHAM, PAUL HARRISE (CERTIFIED FAMILY NUR)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:HARRISE
Last Name:BAYNHAM
Suffix:
Gender:M
Credentials:CERTIFIED FAMILY NUR
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Mailing Address - Street 1:500 ELDORADO BLVD STE 6250
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3421
Mailing Address - Country:US
Mailing Address - Phone:303-272-0768
Mailing Address - Fax:303-318-2488
Practice Address - Street 1:3210 LUTHERAN PKWY
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6019
Practice Address - Country:US
Practice Address - Phone:303-425-8000
Practice Address - Fax:303-467-4925
Is Sole Proprietor?:No
Enumeration Date:2009-04-09
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO#93440 RXN-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner