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Contact Information

BREE A BACALIS, NP
1024 S LEMAY AVE
FORT COLLINS, CO80524
 Phone: 970-495-7000
 Fax: 303-306-7753
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BREE A BACALIS · (Female)

NPI Number 1659861359
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 05/17/2018
Last updated 11/25/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CO License # 2017021320
  • CO License # APN.0993523-NP
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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