IndividualActive
Tracy Stam, RDN
NPI 1477924678 · Pediatric Nutrition Registered Dietitian · Parker, CO
Provider details
- NPI number
- 1477924678
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 819174
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
11120 Tamarron Pl
Parker, CO 80138-3116
Phone: (303) 717-4391
Approximate (ZIP-level) locationGet directions
Mailing address
11120 Tamarron Pl
Parker, CO 80138-3116
Registry dates
- Enumerated
- 2015-10-13
- Last updated
- 2015-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.