Tracy Lynn Phillips in Wasilla - Licensed Practical Nurse
Tracy Lynn Phillips - NPI 1629245998
Tracy Lynn Phillips is a Licensed Practical Nurse in Wasilla, Alaska. Tracy Lynn Phillips practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Tracy Lynn Phillips is 1629245998. The last update date is 2008-05-14.
Tracy Lynn Phillips's current location address is 5620 W Birch Harbor Dr, Wasilla, Alaska. You can contact this provider via phone number 9077752800. The mailing address for Tracy Lynn Phillips is 5620 W Birch Harbor Dr, Wasilla, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Lynn Phillips |
|---|---|
| Address | 5620 W Birch Harbor Dr, Wasilla, Alaska |
| Phone Number | 9077752800 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1629245998 |
|---|---|
| Provider Enumeration Date | 2008-05-14 |
| Last Updated Date | 2008-05-14 |
Provider Mailing Address Detail
| Address | 5620 W Birch Harbor Dr |
|---|---|
| City | Wasilla |
| State | Alaska (AK) |
| Post Code | 996549430 |
| Phone Number | 9077752800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 5250 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique identifier code issued to Tracy Lynn Phillips by the Centers for Medicare & Medicaid Services?
The Tracy Lynn Phillips has been assigned the NPI (National Provider Identifier) 1629245998. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tracy Lynn Phillips is physically located?
The Tracy Lynn Phillips is physically situated at the following address: 5620 W Birch Harbor Dr, Wasilla, AK, 996549430.
What is the Tracy Lynn Phillips's specialty and taxonomy code?
The Tracy Lynn Phillips's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629245998 to Tracy Lynn Phillips?
The Tracy Lynn Phillips received its 1629245998 assignment from the Centers for Medicare & Medicaid Services on 2008-05-14.
As of what date were the details related to Tracy Lynn Phillips most recently updated or revised?
The information pertaining to Tracy Lynn Phillips, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-14.