Fenn, Tracy A.

Fenn, Tracy A. is an individual health care provider with primary practice located at Lumar Plaza, 1847 Psl Blvd Wellmed Medical Managment Of Florida, Inc., Port St. Lucie FL 94952. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fenn, Tracy A. can be contacted via phone (772) 579-2303.

Contact Information

Primary practice address
Lumar Plaza, 1847 Psl Blvd Wellmed Medical Managment Of Florida, Inc. Port St. Lucie FL 94952
Phone: (772) 579-2303
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X North Carolina

Profile Details

NPI number 1750318242
LBN Legal business name Fenn, Tracy A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jan 23rd, 2008 - about 16 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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