Gustitus, Tracey Lynn

Gustitus, Tracey Lynn is an individual health care provider with primary practice located at 420 S 5Th Ave , West Reading PA 19611-2143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Gustitus, Tracey Lynn can be contacted via phone (484) 628-5455.

Contact Information

Primary practice address
420 S 5Th Ave West Reading PA 19611-2143
Phone: (484) 628-5455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X SP017797 Pennsylvania

Profile Details

NPI number 1164935391
LBN Legal business name Gustitus, Tracey Lynn
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2017
Last updated Jun 12th, 2019 - 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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