Individual
TRACEY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14259962-4405
UT
363LN0000X
Neonatal Nurse Practitioner
Primary
APN.0990205-NP
CO
363LN0005X
Critical Care Neonatal Nurse Practitioner
APN.0990205-NP
CO
Other
Enumeration date
06/06/2012
Last updated
02/13/2026
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