Wofford, Tracy Shanoha Lavette

Wofford, Tracy Shanoha Lavette is an sole proprietor health care provider with primary practice located at 10174 Florida Cir N , Brooklyn Park MN 55445-2767. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wofford, Tracy Shanoha Lavette can be contacted via phone (612) 803-9344.

Contact Information

Primary practice address
10174 Florida Cir N Brooklyn Park MN 55445-2767
Phone: (612) 803-9344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R175874-6 Minnesota

Profile Details

NPI number 1396134284
LBN Legal business name Wofford, Tracy Shanoha Lavette
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2015
Last updated Jan 14th, 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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