Individual
ELIZABETH CATHERINE TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2130 E MAIN ST, MONTROSE, CO 81401-3834
(970) 252-3123
(970) 252-3208
Mailing address
2130 E MAIN ST, MONTROSE, CO 81401-3834
(970) 252-3123
(970) 252-3208
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0991558NP
CO
363L00000X
Nurse Practitioner
RN0054045
CO
363L00000X
Nurse Practitioner
RXN0101115
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04100095
—
CO
05
—
22522859
—
CO
Enumeration date
01/30/2006
Last updated
01/20/2015
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