Tracey Ann Miller Warren in Fort Pierce - Medical
Tracey Ann Miller Warren - NPI 1336152172
Tracey Ann Miller Warren is a Medical in Fort Pierce, Florida. Tracey Ann Miller Warren practices all healthcare services and medical treatments related to Medical. The NPI Number for Tracey Ann Miller Warren is 1336152172. The last update date is 2016-03-28.
Tracey Ann Miller Warren's current location address is 1505 Delaware Ave, Fort Pierce, Florida. You can contact this provider via phone number 7724611402 and fax number 5618472306. The mailing address for Tracey Ann Miller Warren is 1505 Delaware Ave, Fort Pierce, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey Ann Miller Warren |
|---|---|
| Address | 1505 Delaware Ave, Fort Pierce, Florida |
| Phone Number | 7724611402 |
| Fax Number | 5618472306 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1336152172 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2016-03-28 |
Provider Mailing Address Detail
| Address | 1505 Delaware Ave |
|---|---|
| City | Fort Pierce |
| State | Florida (FL) |
| Post Code | 349503975 |
| Phone Number | 7724611402 |
| Fax Number | 5618472306 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA9103831 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 292578800 | FL | -- |
Post Comment/ Review Below
What is the Tracey Ann Miller Warren's 1336152172?
The Tracey Ann Miller Warren's NPI (National Provider Identifier) Number is 1336152172. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Tracey Ann Miller Warren is located?
The Tracey Ann Miller Warren is situated at the following address: 1505 Delaware Ave, Fort Pierce, FL, 349503975.
What is the Tracey Ann Miller Warren's area of specialization and corresponding taxonomy classification?
The Tracey Ann Miller Warren's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did Tracey Ann Miller Warren receive its 1336152172 assignment from the Centers for Medicare & Medicaid Services?
The Tracey Ann Miller Warren was assigned its 1336152172 on 2006-08-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Tracey Ann Miller Warren last refreshed?
The information related to the Tracey Ann Miller Warren, including its address, specialty, and other relevant details, was last updated on 2016-03-28.