Mudge, Tracie Katherine

Mudge, Tracie Katherine is an individual health care provider with primary practice located at 409 Bayshore Blvd , Tampa FL 33606-2707. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mudge, Tracie Katherine can be contacted via phone (813) 844-9302.

Contact Information

Primary practice address
409 Bayshore Blvd Tampa FL 33606-2707
Phone: (813) 844-9302
Fax: (813) 844-1655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R55588 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X ARNP9333268 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9333268 Florida

Profile Details

NPI number 1598740805
LBN Legal business name Mudge, Tracie Katherine
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Nov 27th, 2023 - 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.

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