Adams, Tracy Anita
Adams, Tracy Anita is an sole proprietor health care provider with primary practice located at 4825 E Roosevelt St , Phoenix AZ 85008-5917. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Adams, Tracy Anita can be contacted via phone (602) 629-6400.Contact Information
Primary practice address
4825 E Roosevelt St
Phoenix AZ 85008-5917
Phone: (602) 629-6400
Fax: (602) 629-6470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | RN050391 | Arizona |
Profile Details
| NPI number | 1174654529 |
|---|---|
| LBN Legal business name | Adams, Tracy Anita |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174654529 | NPPES |
| Arizona | MEDICAID | 637382 |
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