Provider Demographics
NPI:1437314135
Name:SCOTT, TRACY ELAINE (FNP)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:ELAINE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 279
Mailing Address - Street 2:
Mailing Address - City:BYERS
Mailing Address - State:CO
Mailing Address - Zip Code:80103-0279
Mailing Address - Country:US
Mailing Address - Phone:720-285-8159
Mailing Address - Fax:303-376-9271
Practice Address - Street 1:40505 TOPAZ DR
Practice Address - Street 2:
Practice Address - City:DEER TRAIL
Practice Address - State:CO
Practice Address - Zip Code:80105-7929
Practice Address - Country:US
Practice Address - Phone:720-285-8159
Practice Address - Fax:720-399-0018
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSNP-100035363LF0000X
SC3582363LF0000X
COAPN.0990396-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily