Individual
TRICIA STAATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
601 S MAIN ST, LONGMONT, CO 80501-6427
(720) 718-8410
(720) 718-8999
Mailing address
601 S MAIN ST, LONGMONT, CO 80501-6427
(720) 718-8410
(720) 718-8999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0166709
CO
363L00000X
Nurse Practitioner
APN.0994185-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0994185-NP
CO
Other
Enumeration date
10/04/2018
Last updated
05/17/2021
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