Individual
TRACY LEIGH EBERSBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3656
Mailing address
13082 GRANT CIR E UNIT C, THORNTON, CO 80241-3489
(303) 905-9735
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
169671
CO
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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