Provider Demographics
NPI:1063862746
Name:BAKER, NATALIIA (MD)
Entity type:Individual
Prefix:
First Name:NATALIIA
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NATALIIA
Other - Middle Name:
Other - Last Name:TSYGANKOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:M,D,
Mailing Address - Street 1:1455 MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-5559
Mailing Address - Country:US
Mailing Address - Phone:970-686-3960
Mailing Address - Fax:970-378-2352
Practice Address - Street 1:1455 MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-5559
Practice Address - Country:US
Practice Address - Phone:970-686-3960
Practice Address - Fax:970-378-2352
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0063175207Q00000X
COTL.006219208D00000X
MN75380207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice