Individual
MRS. TRACI GISELLE PERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2100 N BROADWAY, DENVER, CO 80205-2526
(303) 293-2217
Mailing address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 293-2217
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.1632589
CO
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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