Provider Demographics
NPI:1477679009
Name:BARAN, APRIL A (PA-C)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:A
Last Name:BARAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 ZANG ST
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-4252
Mailing Address - Country:US
Mailing Address - Phone:303-271-0612
Mailing Address - Fax:
Practice Address - Street 1:1105 ZANG ST
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-4252
Practice Address - Country:US
Practice Address - Phone:303-271-0612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1895363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO95106065Medicaid
017219OtherKAISER-COMMERCIAL NUMBER
COC804200Medicare PIN
CO95106065Medicaid