Dysard, Tracy L

Dysard, Tracy L is an individual health care provider with primary practice located at 20930 Dupont Blvd Unit 202 , Georgetown DE 19947-1724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dysard, Tracy L can be contacted via phone (302) 202-3438.

Contact Information

Primary practice address
20930 Dupont Blvd Unit 202 Georgetown DE 19947-1724
Phone: (302) 202-3438
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 041-265219 Illinois

Profile Details

NPI number 1053385344
LBN Legal business name Dysard, Tracy L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 11th, 2023 - about 3 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 1053385344 NPPES
Illinois Other L78334 MEDICARE PRIOR 7/15/2007

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