Individual
TRACY SHEA POEPPING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10099 RIDGE GATE PKWY, #290, LONE TREE, CO 80124
(303) 791-2112
(303) 683-6415
Mailing address
30343 INVERNESS LN, EVERGREEN, CO 80439
(303) 670-0148
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
C071400
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71400
STATE ID #
CO
01
—
RXN9939
PRESCRIPTION ID #
CO
Enumeration date
04/17/2007
Last updated
07/08/2007
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