Edwards, Tracy

Edwards, Tracy is an individual health care provider with primary practice located at 12 High St Ste302, Lewiston ME 04240-7634. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Edwards, Tracy can be contacted via phone (207) 795-5750.

Contact Information

Primary practice address
12 High St Ste302 Lewiston ME 04240-7634
Phone: (207) 795-5750
Fax: (207) 795-5649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP081420 Maine

Profile Details

NPI number 1700865912
LBN Legal business name Edwards, Tracy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Oct 19th, 2010 - about 14 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 1700865912 NPPES
Maine MEDICAID 260520099

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