Individual
TRACY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 N FREEWAY RD, PUEBLO, CO 81008-2064
(719) 695-2273
(719) 380-0228
Mailing address
5799 STETSON HILLS BLVD, SUITE 100, COLORADO SPRINGS, CO 80917-4223
(719) 471-2273
(719) 380-0228
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0992700
CO
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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