Freer, Tracy L
Freer, Tracy L is an individual health care provider with primary practice located at 634 S Bailey St Suite 207, Palmer AK 99645-6330. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Freer, Tracy L can be contacted via phone (907) 745-7080.Contact Information
Primary practice address
634 S Bailey St Suite 207
Palmer AK 99645-6330
Phone: (907) 745-7080
Fax: (907) 745-6263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 9769 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 241 | Alaska |
Profile Details
| NPI number | 1205992849 |
|---|---|
| LBN Legal business name | Freer, Tracy L |
| Credentials | ANP, RN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Sep 20th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205992849 | NPPES |
| Alaska | Other | 252309 | COMPSYCH |
| Alaska | Other | 416445 | COMPSYCH |
| Alaska | Other | 350238000 | COMPSYCH |
| Alaska | Other | K152469 | COMPSYCH |
| Alaska | Other | 2206673 | COMPSYCH |
| Alaska | Other | 45-5503677 | COMPSYCH |
| Alaska | MEDICAID | MH9931 | COMPSYCH |
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