Provider Demographics
NPI:1033349675
Name:TREDE, EMILY (NP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:TREDE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 POTOMAC ST
Mailing Address - Street 2:UNIT 111
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-6700
Mailing Address - Country:US
Mailing Address - Phone:303-343-3121
Mailing Address - Fax:
Practice Address - Street 1:750 POTOMAC ST
Practice Address - Street 2:UNIT 111
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-6700
Practice Address - Country:US
Practice Address - Phone:303-343-3121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO180601163W00000X
CO5955363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse