Brink, Tracey Lynn
Brink, Tracey Lynn is an individual health care provider with primary practice located at 571 S Floyd St Suite 342, Louisville KY 40202-3818. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Brink, Tracey Lynn can be contacted via phone (502) 852-8470.Contact Information
Primary practice address
571 S Floyd St Suite 342
Louisville KY 40202-3818
Phone: (502) 852-8470
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 363594 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 3006556 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 006114 | Connecticut |
| Nursing Service Providers / Registered Nurse | 163W00000X | 126171 | Connecticut |
Profile Details
| NPI number | 1740598507 |
|---|---|
| LBN Legal business name | Brink, Tracey Lynn |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2010 |
| Last updated | Jul 16th, 2015 - about 11 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 | 1740598507 | NPPES |
| Indiana | MEDICAID | 201040490 |
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