Provider Demographics
NPI:1790342970
Name:BAROS, NOEL NICOLE
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:NICOLE
Last Name:BAROS
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 1:5224 PASCADERO DR
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81005-3925
Mailing Address - Country:US
Mailing Address - Phone:719-924-2022
Mailing Address - Fax:
Practice Address - Street 1:5224 PASCADERO DR
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81005-3925
Practice Address - Country:US
Practice Address - Phone:719-924-2022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-23
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula