TRACY RICHARDSON

PUEBLO, CO
NPI1568913697
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CO  0992700)
Enumeration Date2016-10-24
Last Update Date2016-10-24
Business Address
TRACY RICHARDSON
4130 N FREEWAY RD
PUEBLO, CO 81008-2064
Phone number: 719-695-2273
Mailing Address
TRACY RICHARDSON
5799 STETSON HILLS BLVD SUITE 100
COLORADO SPRINGS, CO 80917-4223
Phone number: 719-471-2273