Dennis, Tracy Lynn

Dennis, Tracy Lynn is an individual health care provider with primary practice located at 833 Chestnut St Ste 701 , Philadelphia PA 19107-4409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Dennis, Tracy Lynn can be contacted via phone (215) 955-0735.

Contact Information

Primary practice address
833 Chestnut St Ste 701 Philadelphia PA 19107-4409
Phone: (215) 955-0735
Fax: (215) 503-9239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X SP021679 Pennsylvania

Profile Details

NPI number 1487280673
LBN Legal business name Dennis, Tracy Lynn
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2020
Last updated Mar 19th, 2020 - about 5 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 1487280673 NPPES
Pennsylvania Other SP021679 PA CRNP LICENSE NUMBER

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