Tracy A Renn is a Family in Hudson, Wisconsin. Tracy A Renn practices all healthcare services and medical treatments related to Family. The NPI Number for Tracy A Renn is 1255409546. The last update date is 2008-09-07.
Tracy A Renn's current location address is 893 Willow River Dr, Hudson, Wisconsin. You can contact this provider via phone number 7152467895. The mailing address for Tracy A Renn is 893 Willow River Dr, Hudson, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy A Renn |
|---|---|
| Address | 893 Willow River Dr, Hudson, Wisconsin |
| Phone Number | 7152467895 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP-BC, AC |
NPI Number Detail
| NPI Number | 1255409546 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2008-09-07 |
Provider Mailing Address Detail
| Address | 893 Willow River Dr |
|---|---|
| City | Hudson |
| State | Wisconsin (WI) |
| Post Code | 540166944 |
| Phone Number | 7152467895 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 2077005215-2 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36024100 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Tracy A Renn by the Centers for Medicare & Medicaid Services?
The Tracy A Renn has been issued the NPI (National Provider Identifier) 1255409546. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Tracy A Renn's facilities are geographically located?
The facilities of Tracy A Renn are physically situated at the following location: 893 Willow River Dr, Hudson, WI, 540166944.
What is Tracy A Renn's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tracy A Renn is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1255409546 to Tracy A Renn?
The Centers for Medicare & Medicaid Services assigned the 1255409546 to Tracy A Renn on 2006-12-04.
When was the information regarding Tracy A Renn most recently updated?
The details pertaining to the Tracy A Renn, including its address, specialty, and other relevant information, were last refreshed on 2008-09-07.