Renn, Tracy A

Renn, Tracy A is an individual health care provider with primary practice located at 246 Tierney Dr , New Richmond WI 54017-2515. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Renn, Tracy A can be contacted via phone (715) 246-2521.

Contact Information

Primary practice address
246 Tierney Dr New Richmond WI 54017-2515
Phone: (715) 246-2521
Fax: (715) 246-7977
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 2006008321-05 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2077005215-22 Wisconsin

Profile Details

NPI number 1255409546
LBN Legal business name Renn, Tracy A
Credentials FNP-BC, ACNS-BC APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Sep 7th, 2008 - about 18 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 1255409546 NPPES
Wisconsin MEDICAID 36024100

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