Futch-West, Traci Lynn

Futch-West, Traci Lynn is an individual health care provider with primary practice located at 40 Fortenberry Rd , Merritt Island FL 32952-3616. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Futch-West, Traci Lynn can be contacted via phone (321) 453-0779.

Contact Information

Primary practice address
40 Fortenberry Rd Merritt Island FL 32952-3616
Phone: (321) 453-0779
Fax: (321) 453-4188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9193030 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9193030 Florida

Profile Details

NPI number 1164721866
LBN Legal business name Futch-West, Traci Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2011
Last updated Jul 21st, 2022 - about 4 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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