Tracy Ellen Fearnside in Palo Alto - Physician Assistant

Tracy Ellen Fearnside - NPI 1184781973

Tracy Ellen Fearnside is a Physician Assistant in Palo Alto, California. Tracy Ellen Fearnside practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tracy Ellen Fearnside is 1184781973. The last update date is 2007-07-08.

Tracy Ellen Fearnside's current location address is Primary Care Associate Program, Stanford University Sch, Palo Alto, California. You can contact this provider via phone number 6507367773 and fax number 6507239692. The mailing address for Tracy Ellen Fearnside is Primary Care Associate Program, Stanford University Sch, Palo Alto, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy Ellen Fearnside
Address Primary Care Associate Program, Stanford University Sch, Palo Alto, California
Phone Number 6507367773
Fax Number 6507239692
Sole Proprietor N
Credentials P.A.-C.

NPI Number Detail

NPI Number 1184781973
Provider Enumeration Date 2007-01-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Primary Care Associate Program, Stanford University Sch
City Palo Alto
State California (CA)
Post Code 943055408
Phone Number 6507367773
Fax Number 6507239692

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA 11284
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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FAQs about Tracy Ellen Fearnside

What is the Tracy Ellen Fearnside's 1184781973?

The Tracy Ellen Fearnside's NPI (National Provider Identifier) Number is 1184781973. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Tracy Ellen Fearnside located?

The Tracy Ellen Fearnside is located at Primary Care Associate Program, Stanford University Sch, Palo Alto, CA 943055408.

What is the area of specialization for Tracy Ellen Fearnside, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Tracy Ellen Fearnside is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

When did Tracy Ellen Fearnside receive its 1184781973 assignment?

The Tracy Ellen Fearnside was assigned its 1184781973 on 2007-01-02, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Tracy Ellen Fearnside most recently updated or revised?

The details related to Tracy Ellen Fearnside, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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