Individual
TRACEY ANDERSON
Active
Individual
TRACEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95012750
CA
363LF0000X
Family Nurse Practitioner
95012750
CA
364SN0800X
Neuroscience Clinical Nurse Specialist
95012750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25073567
—
CO
Enumeration date
08/15/2006
Last updated
04/21/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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