Allen, Tracy Lyn

Allen, Tracy Lyn is an individual health care provider with primary practice located at 189 Summer Street Minute Clinic (Inside Cvs), Kingston MA 02364. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Allen, Tracy Lyn can be contacted via phone (781) 585-6581.

Contact Information

Primary practice address
189 Summer Street Minute Clinic (Inside Cvs) Kingston MA 02364
Phone: (781) 585-6581
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 099887 Connecticut
Nursing Service Providers / Registered Nurse 163W00000X 2264530 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4852 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2264530 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2264530 Massachusetts

Profile Details

NPI number 1750667259
LBN Legal business name Allen, Tracy Lyn
Credentials APRN/FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2011
Last updated Oct 30th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750667259 NPPES
Connecticut MEDICAID 004235900

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