Harris, Tracey Lynn

Harris, Tracey Lynn is an individual health care provider with primary practice located at 2700 S Wisconsin Ave , Rice Lake WI 54868-7524. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Harris, Tracey Lynn can be contacted via phone (715) 403-5880.

Contact Information

Primary practice address
2700 S Wisconsin Ave Rice Lake WI 54868-7524
Phone: (715) 403-5880
Fax: (833) 972-1582
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 127981-30 Wisconsin

Profile Details

NPI number 1447609540
LBN Legal business name Harris, Tracey Lynn
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2016
Last updated Dec 18th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447609540 NPPES
Wisconsin Other F0616090 AANP CERT

Popular Providers