Mr Tracy Doss Nunnally, NP | |
100 S Cherry Ave Unit 1, Eaton, CO 80615-8256 | |
(970) 454-3838 | |
Not Available |
Full Name | Mr Tracy Doss Nunnally |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 100 S Cherry Ave Unit 1, Eaton, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245535897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 185357 (Colorado) | Secondary |
363LF0000X | Nurse Practitioner - Family | APN.0992881 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Colorado Medical Center | Greeley, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner Health Physicians Colorado Llc | 8921273038 | 245 |
Entity Name | Banner Health Physicians Colorado Llc |
---|---|
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 |
---|---|
Mr Tracy Doss Nunnally, NP 6600 W 20th St Unit 26, Greeley, CO 80634-9685 Ph: (970) 330-2039 | Mr Tracy Doss Nunnally, NP 100 S Cherry Ave Unit 1, Eaton, CO 80615-8256 Ph: (970) 454-3838 |
Shelby Yates, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 320 S Maple Ave, Eaton, CO 80615 Phone: 307-534-5913 | |
Paige Alexandra Helm, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 S Cherry Ave Unit 1, Eaton, CO 80615 Phone: 970-454-3838 Fax: 970-454-1265 | |
Mrs. Shannon M Nisley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 271 S Elm Ave, Eaton, CO 80615 Phone: 970-438-4000 |