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Contact Information

BALDERAS LLC.
902 LOWELL DR
ROCKY FORD, CO81067-2104
 Phone: 719-652-2962
 Fax: 719-652-2962
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BALDERAS LLC · (Female)

NPI # 1952291551
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2025
Last updated 11/15/2025 - About 7 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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