Antle, Tracey Ann
Antle, Tracey Ann is an individual health care provider with primary practice located at 920 West St Bldg B, Peru IL 61354-2763. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Antle, Tracey Ann can be contacted via phone (815) 223-2944.Contact Information
Primary practice address
920 West St Bldg B
Peru IL 61354-2763
Phone: (815) 223-2944
Fax: (815) 223-4095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 209-0043370 | Illinois |
Profile Details
| NPI number | 1598981193 |
|---|---|
| LBN Legal business name | Antle, Tracey Ann |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jul 26th, 2011 - about 15 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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