Houle, Tracy L

Houle, Tracy L is an individual health care provider with primary practice located at 204 Keegan Rd , Plymouth CT 06782-2608. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Houle, Tracy L can be contacted via phone (860) 340-8280.

Contact Information

Primary practice address
204 Keegan Rd Plymouth CT 06782-2608
Phone: (860) 340-8280
Fax: (860) 283-9851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 002671 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2671 Connecticut

Profile Details

NPI number 1699726869
LBN Legal business name Houle, Tracy L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Feb 2nd, 2012 - about 12 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 1699726869 NPPES
Connecticut MEDICAID 004247963

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