Tracy L Farrell, PA
Physician Assistant, Medical in Aurora, CO. Individual provider (NPI-1).
NPI number1649714510
StatusActive
Last updated in NPPESApr 23, 2021
Details
- NPI
- 1649714510
- Entity type
- Individual (NPI-1)
- Name
- Tracy L Farrell
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2016
- Certification date
- Apr 23, 2021
- Last updated
- Apr 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA.0006523 | CO | Yes |
| 363A00000X | Physician Assistant | 2081 | NE |
Practice location
1665 Aurora CtAurora, CO 80045-2517
Phone 720-848-0000
Mailing address
Po Box 110429Aurora, CO 80042-0429
Phone 303-493-7000
Other practice locations
12605 E 16th Ave
Aurora, CO 80045-2545
Aurora, CO 80045-2545
Phone 720-848-0000
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