Eilerman, Tracie Lynn
Eilerman, Tracie Lynn is an individual health care provider with primary practice located at 5213 Godfrey Rd Ste 110 , Godfrey IL 62035-2510. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Eilerman, Tracie Lynn can be contacted via phone (618) 619-3330.Contact Information
Primary practice address
5213 Godfrey Rd Ste 110
Godfrey IL 62035-2510
Phone: (618) 619-3330
Fax: (618) 619-3390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | 2002007983 | Missouri |
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | 041360734 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2018012811 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209017718 | Illinois |
Profile Details
| NPI number | 1619456472 |
|---|---|
| LBN Legal business name | Eilerman, Tracie Lynn |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2018 |
| Last updated | Jan 3rd, 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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