Tracy Renee Pilgrim in Ash Flat - Nurse Practitioner
Tracy Renee Pilgrim - NPI 1033394804
Tracy Renee Pilgrim is a Nurse Practitioner in Ash Flat, Arkansas. Tracy Renee Pilgrim practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tracy Renee Pilgrim is 1033394804. The last update date is 2016-03-16.
Tracy Renee Pilgrim's current location address is 49 Highway 62 412, Ash Flat, Arkansas. You can contact this provider via phone number 8703582036 and fax number 8703584116. The mailing address for Tracy Renee Pilgrim is 49 Highway 62 412, Ash Flat, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Renee Pilgrim |
|---|---|
| Address | 49 Highway 62 412, Ash Flat, Arkansas |
| Phone Number | 8703582036 |
| Fax Number | 8703584116 |
| Sole Proprietor | N |
| Credentials | APN |
NPI Number Detail
| NPI Number | 1033394804 |
|---|---|
| Provider Enumeration Date | 2007-12-29 |
| Last Updated Date | 2016-03-16 |
Provider Mailing Address Detail
| Address | 49 Highway 62 412 |
|---|---|
| City | Ash Flat |
| State | Arkansas (AR) |
| Post Code | 725139594 |
| Phone Number | 8703582036 |
| Fax Number | 8703584116 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | A01248 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code issued to Tracy Renee Pilgrim by the Centers for Medicare & Medicaid Services?
The Tracy Renee Pilgrim has been assigned the NPI (National Provider Identifier) 1033394804 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Tracy Renee Pilgrim?
The Tracy Renee Pilgrim is situated at 49 Highway 62 412, in the city of Ash Flat, state of AR, with the zip code 725139594.
What is the Tracy Renee Pilgrim's area of specialization and corresponding taxonomy classification?
The Tracy Renee Pilgrim's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Tracy Renee Pilgrim receive its 1033394804 assignment from the Centers for Medicare & Medicaid Services?
The Tracy Renee Pilgrim was assigned its 1033394804 by the Centers for Medicare & Medicaid Services on 2007-12-29.
As of what date were the Tracy Renee Pilgrim's details last updated?
The information pertaining to the Tracy Renee Pilgrim, including its address, specialty, and other details, was most recently updated on 2016-03-16.
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