Provider Demographics
NPI:1871371096
Name:RASMUSSEN, TRACY RENEE (FNP)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:RENEE
Last Name:RASMUSSEN
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 1:9998 DRANSFELDT RD
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4013
Mailing Address - Country:US
Mailing Address - Phone:303-214-0333
Mailing Address - Fax:303-214-0332
Practice Address - Street 1:9998 DRANSFELDT RD
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4013
Practice Address - Country:US
Practice Address - Phone:303-214-0333
Practice Address - Fax:303-214-0332
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0998825-NP363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care