Kaluzny, Tracy L
Kaluzny, Tracy L is an individual health care provider with primary practice located at 101 W 8Th Ave Ste 100L-1 , Spokane WA 99204-2307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kaluzny, Tracy L can be contacted via phone (509) 474-5445.Contact Information
Primary practice address
101 W 8Th Ave Ste 100L-1
Spokane WA 99204-2307
Phone: (509) 474-5445
Fax: (509) 227-7070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP61513080 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 10007831 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 6233 | Tennessee |
Profile Details
| NPI number | 1609853332 |
|---|---|
| LBN Legal business name | Kaluzny, Tracy L |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Apr 1st, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609853332 | NPPES |
| Tennessee | MEDICAID | 5440038 |
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