Individual
TRACEE NELSON YARBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
410 W COLORADO ST, HOLLY, CO 81047
(719) 537-6642
(719) 537-6052
Mailing address
201 KENDALL DR, LAMAR, CO 81052-3939
(719) 336-0261
(719) 336-0261
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0991421
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57553289
—
CO
Enumeration date
10/01/2014
Last updated
03/07/2023
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