Provider Demographics
NPI:1922162213
Name:BAER, LYNN CHRISTINE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:CHRISTINE
Last Name:BAER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4895 E COSTILLA PL
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2324
Mailing Address - Country:US
Mailing Address - Phone:303-740-7003
Mailing Address - Fax:
Practice Address - Street 1:6465 GREENWOOD PLAZA BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4905
Practice Address - Country:US
Practice Address - Phone:303-718-2945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO122722363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO122722OtherRN LICENSE NUMBER