Fife, Tracy Melancon

Fife, Tracy Melancon is an individual health care provider with primary practice located at 1111 Medical Ctr. Blvd. N-613, Marrero LA 70072. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Fife, Tracy Melancon can be contacted via phone (504) 349-6800.

Contact Information

Primary practice address
1111 Medical Ctr. Blvd. N-613 Marrero LA 70072
Phone: (504) 349-6800
Fax: (504) 349-6621
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN078784-AP03216 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN078784-AP03216 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP03216 Louisiana

Profile Details

NPI number 1790977973
LBN Legal business name Fife, Tracy Melancon
Credentials NPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2007
Last updated Jun 11th, 2013 - about 11 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 1790977973 NPPES
Louisiana MEDICAID 1540315

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