Degenstein, Tracy Candace W.

Degenstein, Tracy Candace W. is an individual health care provider with primary practice located at 217 Torbett St Ste 101 , Richland WA 99354-2667. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Degenstein, Tracy Candace W. can be contacted via phone (509) 427-1450.

Contact Information

Primary practice address
217 Torbett St Ste 101 Richland WA 99354-2667
Phone: (509) 427-1450
Fax: (509) 427-1490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30004407 Washington

Profile Details

NPI number 1003895533
LBN Legal business name Degenstein, Tracy Candace W.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated May 23rd, 2024 - about 2 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 1003895533 NPPES
Washington MEDICAID 2058433

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