Tracy, Elizabeth Catherine

Tracy, Elizabeth Catherine is an individual health care provider with primary practice located at 2130 E Main St , Montrose CO 81401-3834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tracy, Elizabeth Catherine can be contacted via phone (970) 252-3123.

Contact Information

Primary practice address
2130 E Main St Montrose CO 81401-3834
Phone: (970) 252-3123
Fax: (970) 252-3208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN0991558NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN0054045 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RXN0101115 Colorado

Profile Details

NPI number 1528039427
LBN Legal business name Tracy, Elizabeth Catherine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jan 20th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528039427 NPPES
Colorado MEDICAID 04100095
Colorado MEDICAID 22522859

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