Individual
TRACEY RAFUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1338 PHAY AVE, CANON CITY, CO 81212-2302
(719) 285-2000
Mailing address
1338 PHAY AVE, CANON CITY, CO 81212-2302
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0992314-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
992314-NP
CO
Other
Enumeration date
05/31/2016
Last updated
02/09/2026
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