Tracey Joanne Fender in Tuba City - Pediatrics
Tracey Joanne Fender - NPI 1275729832
Tracey Joanne Fender is a Pediatrics in Tuba City, Arizona. Tracey Joanne Fender practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tracey Joanne Fender is 1275729832. The last update date is 2013-05-16.
Tracey Joanne Fender's current location address is 167 North Main St., Tuba City, Arizona. You can contact this provider via phone number 9282832679. The mailing address for Tracey Joanne Fender is 167 North Main St., Tuba City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey Joanne Fender |
|---|---|
| Address | 167 North Main St., Tuba City, Arizona |
| Phone Number | 9282832679 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.N.P. |
NPI Number Detail
| NPI Number | 1275729832 |
|---|---|
| Provider Enumeration Date | 2007-09-18 |
| Last Updated Date | 2013-05-16 |
Provider Mailing Address Detail
| Address | 167 North Main St. |
|---|---|
| City | Tuba City |
| State | Arizona (AZ) |
| Post Code | 86045 |
| Phone Number | 9282832679 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | AP2858 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RN2271333 | MA | STATE | |
| AP2858 | AZ | AZ STATE BOARD OF NURSING | |
| 064991-23 | NH | STATE |
Post Comment/ Review Below
What is the unique identifier code issued to Tracey Joanne Fender by the Centers for Medicare & Medicaid Services (CMS)?
The Tracey Joanne Fender has been assigned the NPI (National Provider Identifier) 1275729832. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Tracey Joanne Fender's physical address?
The Tracey Joanne Fender is physically located at 167 North Main St., in the city of Tuba City, AZ, with the postal code 86045.
What is Tracey Joanne Fender's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tracey Joanne Fender is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.
On what date did Tracey Joanne Fender receive its 1275729832 assignment from the Centers for Medicare & Medicaid Services?
The Tracey Joanne Fender was assigned its 1275729832 on 2007-09-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Tracey Joanne Fender's information last updated?
The Tracey Joanne Fender's information was last updated on 2013-05-16.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA