Provider Demographics
NPI:1912416264
Name:CALOCCI, TRACY LYNN (CNM)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:LYNN
Last Name:CALOCCI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11693 W BELLEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-1538
Mailing Address - Country:US
Mailing Address - Phone:303-908-2295
Mailing Address - Fax:
Practice Address - Street 1:4545 E 9TH AVE STE 502
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3910
Practice Address - Country:US
Practice Address - Phone:303-320-2944
Practice Address - Fax:303-320-2947
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0993426-CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife