MRS. TRACIE LINE DETWILER NNP
NPI 1619981347
Nurse Practitioner - Neonatal in Steamboat Springs, CO
Active since July 28, 2006
1024 CENTRAL PARK DR, STEAMBOAT SPRINGS, CO 80487(970) 871-2418(970) 871-2480 Get Directions Write a Review
About Mrs. Tracie Line Detwiler Nnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TRACIE LINE DETWILER NNP (NPI 1619981347) is an individual neonatal provider in Steamboat Springs, Colorado, licensed in Colorado (83095) and active in the NPI registry since July 2006.
NPPES Registry Identity
NPI1619981347
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameMRS. TRACIE LINE DETWILERCredential: NNP
Location Address1024 CENTRAL PARK DRSteamboat Springs, CO 80487-8813
Mailing Address1024 Central Park DrSteamboat Springs, CO 80487-8813 · (970) 871-2418 · Fax (970) 871-2480
Phone(970) 871-2418
Fax(970) 871-2480
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 11, 2013
✔ NPI 1619981347 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in CO · 83095
1024 CENTRAL PARK DR, Steamboat Springs, CO 80487
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Neonatal)
1024 CENTRAL PARK DR
STEAMBOAT SPRINGS, CO 80487
STEAMBOAT SPRINGS, CO 80487
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619981347, enumerated as an "individual" on July 28, 2006.
The provider is located at 1024 CENTRAL PARK DR STEAMBOAT SPRINGS, CO 80487 and the phone number is (970) 871-2418.
Nurse Practitioner with taxonomy code 363LN0000X and a focus in Neonatal.
