Healthcare Provider Details

I. General information

NPI: 1225879018
Provider Name (Legal Business Name): TAMMI BANCROFT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2024
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9602 FAIRWAY GLEN DR
PEYTON CO
80831-4613
US

IV. Provider business mailing address

7661 MCLAUGHLIN RD # 1035
FALCON CO
80831-4727
US

V. Phone/Fax

Practice location:
  • Phone: 303-630-9177
  • Fax:
Mailing address:
  • Phone: 303-630-9177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TAMMI BANCROFT
Title or Position: NURSE PRACTITIONER
Credential: FNP-C, PMHNP- BC
Phone: 303-630-9177