Whitman, Tracy

Whitman, Tracy is an individual health care provider with primary practice located at 700 Quincy Ave , Scranton PA 18510-1724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Whitman, Tracy can be contacted via phone (866) 519-0457.

Contact Information

Primary practice address
700 Quincy Ave Scranton PA 18510-1724
Phone: (866) 519-0457
Fax: (570) 770-5263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP019789 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP019920 Pennsylvania

Profile Details

NPI number 1437715281
LBN Legal business name Whitman, Tracy
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2019
Last updated Jan 23rd, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437715281 NPPES
Pennsylvania MEDICAID 1036780850001
Pennsylvania MEDICAID 1036780850002

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