Baum, Tracy Lee

Baum, Tracy Lee is an individual health care provider with primary practice located at 1424 Broadway , Everett WA 98201-1720. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Baum, Tracy Lee can be contacted via phone (425) 789-2000.

Contact Information

Primary practice address
1424 Broadway Everett WA 98201-1720
Phone: (425) 789-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CP000450 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 33105.1295 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP61479503 Washington

Profile Details

NPI number 1861437980
LBN Legal business name Baum, Tracy Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Oct 2nd, 2023 - about last year

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 1861437980 NPPES
Wyoming MEDICAID 136115500
Wyoming Other 4994284

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