Tracy J Hall, CNM | |
4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | |
(970) 821-4500 | |
Not Available |
Full Name | Tracy J Hall |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 4700 Lady Moon Dr, Fort Collins, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770192288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | APN.0995912-CNM (Colorado) | Primary |
163WX0003X | Registered Nurse - Obstetric, Inpatient | RN.0122779 (Colorado) | Secondary |
Entity Name | Banner Health Physicians Colorado Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073899134 PECOS PAC ID: 8921273038 Enrollment ID: O20111219000237 |
Mailing Address | Practice Location Address |
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Tracy J Hall, CNM 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 Ph: (970) 821-4500 | Tracy J Hall, CNM 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 Ph: (970) 821-4500 |
Ms. Janessa Mi Landeck, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1107 S Lemay Ave Ste 300, Fort Collins, CO 80524 Phone: 970-493-7442 | |
Mrs. Valorie Corene Hauck-sorensen, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1107 S Lemay Ave Ste 300, Fort Collins, CO 80524 Phone: 970-493-7442 Fax: 970-493-2990 | |
Allison Elizabeth Dehart, CNM, APRN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 825 S Shields St, Fort Collins, CO 80521 Phone: 970-493-0281 Fax: 970-493-0729 | |
Jenna Leigh Jutten, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1107 S Lemay Ave Ste 300, Fort Collins, CO 80524 Phone: 704-937-4429 Fax: 970-493-2990 | |
Lisa Gesterling, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1221 W Elizabeth St, Fort Collins, CO 80521 Phone: 970-818-5745 | |
Jessica Gefre, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2620 E Prospect Rd Ste 160, Fort Collins, CO 80525 Phone: 970-221-4977 | |
Paige Cassidy Boran, CNM, APRN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2620 E Prospect Rd Ste 160, Fort Collins, CO 80525 Phone: 970-221-4977 |