Tracy L Estrellado in Moses Lake - Medical
Tracy L Estrellado - NPI 1083645733
Tracy L Estrellado is a Medical in Moses Lake, Washington. Tracy L Estrellado practices all healthcare services and medical treatments related to Medical. The NPI Number for Tracy L Estrellado is 1083645733. The last update date is 2022-06-20.
Tracy L Estrellado's current location address is 840 E Hill Ave, Moses Lake, Washington. You can contact this provider via phone number 5097650216. The mailing address for Tracy L Estrellado is 840 E Hill Ave, Moses Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy L Estrellado |
|---|---|
| Address | 840 E Hill Ave, Moses Lake, Washington |
| Phone Number | 5097650216 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1083645733 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2022-06-20 |
Provider Mailing Address Detail
| Address | 840 E Hill Ave |
|---|---|
| City | Moses Lake |
| State | Washington (WA) |
| Post Code | 9883722380 |
| Phone Number | 5097650216 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA10002438 |
|
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 |
|---|---|---|---|
| 314838 | WA | L&I POST 7/21/13 | |
| P01257588 | WA | RR MEDICARE | |
| 1083645733 | WA | -- | |
| 127396 | WA | L&I |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tracy L Estrellado by the Centers for Medicare & Medicaid Services?
The Tracy L Estrellado has been assigned the NPI (National Provider Identifier) 1083645733 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Tracy L Estrellado's facilities are geographically located?
The facilities of Tracy L Estrellado are physically situated at the following location: 840 E Hill Ave, Moses Lake, WA, 9883722380.
What is Tracy L Estrellado's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tracy L Estrellado's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Tracy L Estrellado receive the assignment of its 1083645733 from the Centers for Medicare & Medicaid Services?
The Tracy L Estrellado was issued its 1083645733 by the Centers for Medicare & Medicaid Services on 2006-07-05.
When was the information regarding Tracy L Estrellado, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tracy L Estrellado, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-06-20.