Fanfan, Tracey

Fanfan, Tracey is an individual health care provider with primary practice located at 100 Madison Ave , Morristown NJ 07960-6136. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Fanfan, Tracey can be contacted via phone (973) 971-4287.

Contact Information

Primary practice address
100 Madison Ave Morristown NJ 07960-6136
Fax: (973) 290-8325
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ01266900 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NJ01266900 New Jersey

Profile Details

NPI number 1962134072
LBN Legal business name Fanfan, Tracey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2022
Last updated Jun 6th, 2024 - about 6 months 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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