Dickel, Tracy Ann

Dickel, Tracy Ann is an individual health care provider with primary practice located at 1801 Hickman Rd , Des Moines IA 50314-1505. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dickel, Tracy Ann can be contacted via phone (515) 282-2200.

Contact Information

Primary practice address
1801 Hickman Rd Des Moines IA 50314-1505
Phone: (515) 282-2200
Fax: (515) 282-2231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 062100 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A062100 Iowa

Profile Details

NPI number 1780677161
LBN Legal business name Dickel, Tracy Ann
Credentials ARNP FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jan 21st, 2009 - about 17 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 1780677161 NPPES
Iowa MEDICAID 0219733
Iowa Other P00112921
Iowa Other 48413
Iowa Other B003
Iowa MEDICAID 1219733
Iowa Other 42068106098
Iowa Other UNK

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