Puttre, Tracy Mae
Puttre, Tracy Mae is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Dept Of Radiology, Milwaukee WI 53226-3522. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Puttre, Tracy Mae can be contacted via phone (414) 805-3700.Contact Information
Primary practice address
9200 W Wisconsin Ave Dept Of Radiology
Milwaukee WI 53226-3522
Phone: (414) 805-3700
Fax: (414) 805-3777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 6519-33 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 6519-33 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 6519-33 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 6519-33 | Wisconsin |
Profile Details
| NPI number | 1194100339 |
|---|---|
| LBN Legal business name | Puttre, Tracy Mae |
| Credentials | RN, APNP, AGPCNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2015 |
| Last updated | Sep 18th, 2015 - about 11 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 | 1194100339 | NPPES |
| Wisconsin | MEDICAID | 1194100339 |
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