Fenn, Tracy A.
Fenn, Tracy A. is an individual health care provider with primary practice located at Lumar Plaza, 1847 Psl Blvd Wellmed Medical Managment Of Florida, Inc., Port St. Lucie FL 94952. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fenn, Tracy A. can be contacted via phone (772) 579-2303.Contact Information
Primary practice address
Lumar Plaza, 1847 Psl Blvd Wellmed Medical Managment Of Florida, Inc.
Port St. Lucie FL 94952
Phone: (772) 579-2303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | North Carolina |
Profile Details
| NPI number | 1750318242 |
|---|---|
| LBN Legal business name | Fenn, Tracy A. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jan 23rd, 2008 - about 18 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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