Individual provider · Type 1 NPI

Tracy Richardson

Family Nurse Practitioner · Pueblo, CO

NPI number 1568913697 Active

Practice location

4130 N Freeway Rd
Pueblo, CO 81008-2064

Fax (719) 380-0228

Mailing address

5799 Stetson Hills Blvd, Suite 100
Colorado Springs, CO 80917-4223

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0992700 (CO)

Family Nurse Practitioner: Definition to come...

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About NPI 1568913697

Tracy Richardson's National Provider Identifier is 1568913697, issued on Oct 24, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pueblo, CO. The record was last updated on Oct 24, 2016.