Daum, Tracy
Daum, Tracy is an individual health care provider with primary practice located at 1307 Federal St Ste B100 , Pittsburgh PA 15212-4761. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Daum, Tracy can be contacted via phone (412) 359-8900.Contact Information
Primary practice address
1307 Federal St Ste B100
Pittsburgh PA 15212-4761
Phone: (412) 359-8900
Fax: (412) 359-8977
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | SP015450 | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | SP015450 | Pennsylvania |
Profile Details
NPI number | 1053786905 |
---|---|
LBN Legal business name | Daum, Tracy |
Credentials | DNP, CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 3rd, 2015 |
Last updated | Apr 8th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053786905 | NPPES |
Pennsylvania | Other | 13845751 | CAQH |
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