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General NPI Number Information
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NPI Number | 1154001881
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Entity Type | Individual
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Provider Name | TRACY R WALKER PMHNP
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Gender | Female
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 841 E CUCHARRAS ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-3621
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Country | US
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Telephone | 719-247-2697
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Fax |
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Provider Business Mailing Address
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Address Line | 841 E CUCHARRAS ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-3621
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Country | US
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Telephone | 937-668-3075
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2023035849
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | RXN.0107969-NP
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License Number State | CO
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