Dietz, Tracy Marie

Dietz, Tracy Marie is an individual health care provider with primary practice located at 3523 Wickenhauser Ave , Alton IL 62002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dietz, Tracy Marie can be contacted via phone (618) 465-8887.

Contact Information

Primary practice address
3523 Wickenhauser Ave Alton IL 62002
Phone: (618) 465-8887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.011378 Illinois

Profile Details

NPI number 1477941938
LBN Legal business name Dietz, Tracy Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2015
Last updated Sep 28th, 2015 - about 9 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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