Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY TRACEY
ActiveMARY TRACEY is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in PAGOSA SPRINGS, Colorado. NPI 1134515984 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · PAGOSA SPRINGS, CO
Registration Details
- NPI Number
- 1134515984
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 8, 2015 (11.167817423735 yrs)
- Last Updated
- Mar 17, 2018
- License
-
APN.0993060-NP (CO)
Practice Information
- Address
-
52 VILLAGE DRPAGOSA SPRINGS, CO, 811478368Browse CO providers · Browse ZIP 81147
- Phone
- 9702642104
- Fax
- 9702642108
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in PAGOSA SPRINGS, CO
| Name | Credential | NPI |
|---|---|---|
| BRITTIANY MICHELLE NEWSOME | NP-C | 1821345570 |
| JASON ROSS IMMERTREU | APN | 1740662642 |
| CALVIN EDGAR NEWSOME JR. | FNP-C | 1447790183 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.