Agnew, Tracy L

Agnew, Tracy L is an individual health care provider with primary practice located at 145 W 23Rd St Ste 101 , Erie PA 16502-2858. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Agnew, Tracy L can be contacted via phone (814) 452-2767.

Contact Information

Primary practice address
145 W 23Rd St Ste 101 Erie PA 16502-2858
Phone: (814) 452-2767
Fax: (814) 459-2976
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X TP005758B Pennsylvania

Profile Details

NPI number 1306821715
LBN Legal business name Agnew, Tracy L
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Apr 8th, 2025 - about last year

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 1306821715 NPPES
Other CAQH 12227525
MEDICAID 102262534 12227525

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