Baretela, Tracie

Baretela, Tracie is an individual health care provider with primary practice located at 2520 Cherry Ave , Bremerton WA 98310-4229. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Baretela, Tracie can be contacted via phone (360) 744-4949.

Contact Information

Primary practice address
2520 Cherry Ave Bremerton WA 98310-4229
Phone: (360) 744-4949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X PA10005007 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10005007 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5610243-1206 Utah

Profile Details

NPI number 1699734335
LBN Legal business name Baretela, Tracie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jan 4th, 2022 - about 3 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 1699734335 NPPES
Washington MEDICAID 8451411

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