Harris, Tracy Ann

Harris, Tracy Ann is an individual health care provider with primary practice located at 1000 Fowler Way Suite 7, Placerville CA 95667-5738. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Harris, Tracy Ann can be contacted via phone (530) 621-3600.

Contact Information

Primary practice address
1000 Fowler Way Suite 7 Placerville CA 95667-5738
Phone: (530) 621-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP11489 California
Nursing Service Providers / Registered Nurse 163W00000X RN321142 California

Profile Details

NPI number 1609978410
LBN Legal business name Harris, Tracy Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Feb 15th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609978410 NPPES
California Other RN321142 RN LICENSE
California Other NP11489 RN LICENSE

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