Edwards, Tracy Lee

Edwards, Tracy Lee is an individual health care provider with primary practice located at 220 W Colfax Ave Ste 400 , South Bend IN 46601-1635. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Edwards, Tracy Lee can be contacted via phone (574) 546-1900.

Contact Information

Primary practice address
220 W Colfax Ave Ste 400 South Bend IN 46601-1635
Phone: (574) 546-1900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 607986 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71007338A Indiana

Profile Details

NPI number 1568753127
LBN Legal business name Edwards, Tracy Lee
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2011
Last updated Mar 27th, 2018 - about 6 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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