Tracey Renata Samuels in Anchorage - Physician Assistant
Tracey Renata Samuels - NPI 1811004856
Tracey Renata Samuels is a Physician Assistant in Anchorage, Alaska. Tracey Renata Samuels practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tracey Renata Samuels is 1811004856. The last update date is 2007-07-08.
Tracey Renata Samuels's current location address is 4320 Diplomacy Dr, Anchorage, Alaska. You can contact this provider via phone number 9077293971 and fax number 9077291542. The mailing address for Tracey Renata Samuels is 4320 Diplomacy Dr, Anchorage, Alaska. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tracey Renata Samuels |
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Address | 4320 Diplomacy Dr, Anchorage, Alaska |
Phone Number | 9077293971 |
Fax Number | 9077291542 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1811004856 |
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Provider Enumeration Date | 2006-08-24 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4320 Diplomacy Dr |
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City | Anchorage |
State | Alaska (AK) |
Post Code | 995085925 |
Phone Number | 9077293971 |
Fax Number | 9077291542 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 632 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code issued to Tracey Renata Samuels by the Centers for Medicare & Medicaid Services?
The Tracey Renata Samuels has been assigned the NPI (National Provider Identifier) 1811004856 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Tracey Renata Samuels?
The Tracey Renata Samuels is situated at 4320 Diplomacy Dr, in the city of Anchorage, state of AK, with the zip code 995085925.
What is Tracey Renata Samuels's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracey Renata Samuels's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When did Tracey Renata Samuels receive its 1811004856 assignment?
The Tracey Renata Samuels was assigned its 1811004856 on 2006-08-24, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Tracey Renata Samuels most recently updated or revised?
The information pertaining to Tracey Renata Samuels, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC