NPI 1649871518

Emily Tracy

Practitioner Physician Assistant Evergreen, CO

Practice location

Address: 172 Siesta Cir, Evergreen, CO 80439-4339
Phone: (720) 940-0208
Mailing address: 2011 4th St, La Grande, OR 97850-2511

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1649871518
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2020
Record last updated: 3 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.