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
Phone: (864) 232-7338
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 7 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 | 1164424222 | NPPES |
| Tennessee | MEDICAID | 3640092 |
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