Individual provider · Type 1 NPI
Tracie Line Detwiler, NNP
Neonatal Nurse Practitioner · Steamboat Springs, CO
NPI number
1619981347
Active
Practice location
1024 Central Park Dr
Steamboat Springs, CO 80487-8813
Fax (970) 871-2480
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner Primary | 363LN0000X | 83095 (CO) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1619981347
Tracie Line Detwiler, NNP's National Provider Identifier is 1619981347, issued on Jul 28, 2006. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Steamboat Springs, CO. The record was last updated on Jul 11, 2013.