Carstarphen, Tracy Andrea

Carstarphen, Tracy Andrea is an individual health care provider with primary practice located at 5470 Meridian Marks Rd , Atlanta GA 30342. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Carstarphen, Tracy Andrea can be contacted via phone (615) 673-6737.

Contact Information

Primary practice address
5470 Meridian Marks Rd Atlanta GA 30342
Phone: (615) 673-6737
Fax: (800) 474-4039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201683 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 201683 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 165081 Georgia

Profile Details

NPI number 1043204969
LBN Legal business name Carstarphen, Tracy Andrea
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jun 22nd, 2018 - about 6 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 1043204969 NPPES
Other 2631996 UNITED HEALTHCARE
MEDICAID 6005024 UNITED HEALTHCARE

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