Adams, Tracey Ray
Adams, Tracey Ray is an individual health care provider with primary practice located at 2200 Fowler Grove Blvd Ste 140 , Winter Garden FL 34787-5597. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Adams, Tracey Ray can be contacted via phone (407) 614-0528.Contact Information
Primary practice address
2200 Fowler Grove Blvd Ste 140
Winter Garden FL 34787-5597
Phone: (407) 614-0528
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3008520 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | COA.14270-NP | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN11015650 | Florida |
Profile Details
| NPI number | 1376882225 |
|---|---|
| LBN Legal business name | Adams, Tracey Ray |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2013 |
| Last updated | Jan 18th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376882225 | NPPES |
| Kentucky | MEDICAID | 7100238800 |
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