Individual provider · Type 1 NPI

Mary Tracey

Psychiatric/Mental Health Nurse Practitioner · Pagosa Springs, CO

NPI number 1134515984 Active

Practice location

52 Village Dr
Pagosa Springs, CO 81147-8368

Fax (970) 264-2108

Mailing address

8745 County Road 9 S
Alamosa, CO 81101-9610

Other practice locations

  • 8745 County Road 9 S, Alamosa, CO 81101-9610 · (719) 589-3671

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPN.0993060-NP (CO)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1134515984

Mary Tracey's National Provider Identifier is 1134515984, issued on Apr 8, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pagosa Springs, CO. The record was last updated on Mar 17, 2018.