Tordella, Tracey E

Tordella, Tracey E is an individual health care provider with primary practice located at 201 E Sample Rd , Pompano Beach FL 33064-3502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tordella, Tracey E can be contacted via phone (954) 786-5151.

Contact Information

Primary practice address
201 E Sample Rd Pompano Beach FL 33064-3502
Phone: (954) 786-5151
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1517702 Florida

Profile Details

NPI number 1023072998
LBN Legal business name Tordella, Tracey E
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Feb 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023072998 NPPES
Florida MEDICAID 303697900

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