Cumberland, Tracy Lynne

Cumberland, Tracy Lynne is an sole proprietor health care provider with primary practice located at 5750 W Thunderbird Rd Ste B200 , Glendale AZ 85306-4664. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cumberland, Tracy Lynne can be contacted via phone (602) 375-1700.

Contact Information

Primary practice address
5750 W Thunderbird Rd Ste B200 Glendale AZ 85306-4664
Phone: (602) 375-1700
Fax: (602) 978-1225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C01254 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7357 Arizona

Profile Details

NPI number 1538205851
LBN Legal business name Cumberland, Tracy Lynne
Credentials PA-C, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Dec 27th, 2022 - about 4 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 1538205851 NPPES
Arizona MEDICAID 469723

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