Grace, Tracie D
Grace, Tracie D is an individual health care provider with primary practice located at 407 S Schwartz Ave Suite 201, Farmington NM 87401-5925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grace, Tracie D can be contacted via phone (505) 609-6730.Contact Information
Primary practice address
407 S Schwartz Ave Suite 201
Farmington NM 87401-5925
Phone: (505) 609-6730
Fax: (505) 609-6749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0064574 | New Mexico |
Profile Details
| NPI number | 1356625917 |
|---|---|
| LBN Legal business name | Grace, Tracie D |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2011 |
| Last updated | Sep 30th, 2011 - about 13 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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