Arsenault, Tracy Melinda

Arsenault, Tracy Melinda is an individual health care provider with primary practice located at 4980 Barranca Pkwy Suite 200, Irvine CA 92604-8645. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Arsenault, Tracy Melinda can be contacted via phone (949) 786-5050.

Contact Information

Primary practice address
4980 Barranca Pkwy Suite 200 Irvine CA 92604-8645
Phone: (949) 786-5050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085-003952 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085-003952 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2708-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10001255A Indiana

Profile Details

NPI number 1497056824
LBN Legal business name Arsenault, Tracy Melinda
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2010
Last updated Jun 26th, 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 1497056824 NPPES
Illinois Other 01618941 BLUECROSS BLUESHIELD

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