Individual
TRACY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1401 GATEWAY BLVD, ROCK SPRINGS, WY 82901-6717
(307) 362-6641
Mailing address
2 WILD HORSE RD, ROCK SPRINGS, WY 82901-6796
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19929
WY
Other
Enumeration date
06/03/2010
Last updated
11/02/2022
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