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
Fax: (815) 223-4095
Website:

Health care specialties

SpecialtyCodeLicense #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 13 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.

Request for update

Popular Providers