Adams, Tracy Anita

Adams, Tracy Anita is an sole proprietor health care provider with primary practice located at 4825 E Roosevelt St , Phoenix AZ 85008-5917. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Adams, Tracy Anita can be contacted via phone (602) 629-6400.

Contact Information

Primary practice address
4825 E Roosevelt St Phoenix AZ 85008-5917
Phone: (602) 629-6400
Fax: (602) 629-6470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN050391 Arizona

Profile Details

NPI number 1174654529
LBN Legal business name Adams, Tracy Anita
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174654529 NPPES
Arizona MEDICAID 637382

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