Individual
MRS. TRACI FRANCES LAVALLAIS-MUHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C RNC
Contact information
Practice address
15845 E 17TH PL, AURORA, CO 80011-4701
(303) 525-0679
Mailing address
15845 E 17TH PL, AURORA, CO 80011-4701
(303) 525-0679
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
129301
CO
363LF0000X
Family Nurse Practitioner
Primary
APN-0992183-NP
CO
Other
Enumeration date
02/12/2015
Last updated
12/09/2016
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