Tracy Latawnia Primus in Grand Rapids - Registered Nurse

Tracy Latawnia Primus - NPI 1235281262

Tracy Latawnia Primus is a Registered Nurse in Grand Rapids, Michigan. Tracy Latawnia Primus practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Tracy Latawnia Primus is 1235281262. The last update date is 2007-07-08.

Tracy Latawnia Primus's current location address is Po Box 141, Grand Rapids, Michigan. You can contact this provider via phone number 6162485168 and fax number 6162432302. The mailing address for Tracy Latawnia Primus is Po Box 141, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy Latawnia Primus
Address Po Box 141, Grand Rapids, Michigan
Phone Number 6162485168
Fax Number 6162432302
Sole Proprietor Y
Credentials REGISTERED

NPI Number Detail

NPI Number 1235281262
Provider Enumeration Date 2007-01-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 141
City Grand Rapids
State Michigan (MI)
Post Code 495010141
Phone Number 6162485168
Fax Number 6162432302

Provider's Primary Taxonomy Detail

Speciality Registered Nurse
Taxonomy 163W00000X
Licence No 4704253947
Definition:
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of

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FAQs about Tracy Latawnia Primus

What is the Tracy Latawnia Primus's unique identification number?

The Tracy Latawnia Primus has been assigned the NPI (National Provider Identifier) Number 1235281262 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Tracy Latawnia Primus is located?

The Tracy Latawnia Primus is situated at the following address: Po Box 141, Grand Rapids, MI, 495010141.

What is Tracy Latawnia Primus's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Tracy Latawnia Primus is Registered Nurse, and the taxonomy classification code that categorizes this area of expertise is 163W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1235281262 to Tracy Latawnia Primus?

The Centers for Medicare & Medicaid Services originally issued the 1235281262 to Tracy Latawnia Primus on 2007-01-18.

As of what date were the details pertaining to Tracy Latawnia Primus last refreshed?

The information related to the Tracy Latawnia Primus, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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