Irons-Dieterle, Tracy Jo

Irons-Dieterle, Tracy Jo is an individual health care provider with primary practice located at 15290 Pennock Ln , Apple Valley MN 55124-7163. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Irons-Dieterle, Tracy Jo can be contacted via phone (952) 853-8800.

Contact Information

Primary practice address
15290 Pennock Ln Apple Valley MN 55124-7163
Phone: (952) 853-8800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R 136630-3 Minnesota

Profile Details

NPI number 1386910479
LBN Legal business name Irons-Dieterle, Tracy Jo
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2012
Last updated Mar 1st, 2017 - about 7 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.

Request for update

Popular Providers