Individual
TRACEY L HEADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2200
(719) 530-2001
Mailing address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2200
(719) 530-2001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0990724-NP
CO
Other
Enumeration date
03/08/2013
Last updated
02/22/2021
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