Individual
TRACEY WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 WILLIAMS ST, 300, DENVER, CO 80218-1234
(720) 754-2610
(720) 754-2659
Mailing address
3020 JAY ST, WHEAT RIDGE, CO 80214-8153
(303) 709-4909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0993467-NP
CO
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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