Luther, Tracy M.

Luther, Tracy M. is an sole proprietor health care provider with primary practice located at 125 Halton Rd Ste 200 , Greenville SC 29607-3507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Luther, Tracy M. can be contacted via phone (864) 232-7338.

Contact Information

Primary practice address
125 Halton Rd Ste 200 Greenville SC 29607-3507
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000011028 Tennessee

Profile Details

NPI number 1164424222
LBN Legal business name Luther, Tracy M.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2005
Last updated May 20th, 2024 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164424222 NPPES
Tennessee MEDICAID 3640092

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