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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TRACY STOVER STAM, RDN

Active Sole Proprietor

MRS. TRACY STOVER STAM, RDN is a Pediatric Nutrition healthcare provider located in PARKER, Colorado. NPI 1477924678 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nutrition · PARKER, CO

Registration Details

NPI Number
1477924678
Provider Type
Individual
Gender
Female
NPI Issued
Oct 13, 2015 (10.84249559407 yrs)
Last Updated
Oct 13, 2015
License
819174
Sole Proprietor
Yes

Practice Information

Address
11120 TAMARRON PL
PARKER, CO, 801383116
Browse CO providers · Browse ZIP 80138
Phone
3037174391
Primary Specialty
Pediatric Nutrition
133VN1004X
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.