Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TRACY STOVER STAM, RDN
Active Sole ProprietorPediatric Nutrition · PARKER, CO
Registration Details
- NPI Number
- 1477924678
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 13, 2015 (10.523410066061 yrs)
- Last Updated
- Oct 13, 2015
- License
-
819174
- Sole Proprietor
- Yes
Practice Information
- Address
-
11120 TAMARRON PLPARKER, CO, 801383116Browse 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.