Individual
MS. TRACY LORETHA DARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6091 S QUEBEC ST # 200, CENTENNIAL, CO 80111-4521
(303) 641-7280
(303) 872-3165
Mailing address
8801 E HAMPDEN AVE, SUITE 110, DENVER, CO 80231
(303) 481-8079
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
100036
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972889319
NPI
CO
Enumeration date
10/31/2011
Last updated
11/04/2024
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