Mast, Tracy
Mast, Tracy is an individual health care provider with primary practice located at 3231 Healthplex Drive , Norman OK 73072. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mast, Tracy can be contacted via phone (405) 321-5114.Contact Information
Primary practice address
3231 Healthplex Drive
Norman OK 73072
Phone: (405) 321-5114
Fax: (405) 321-6482
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 09312 | Oklahoma |
Profile Details
NPI number | 1710362538 |
---|---|
LBN Legal business name | Mast, Tracy |
Credentials | APRN, CPNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 22nd, 2015 |
Last updated | Aug 12th, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710362538 | NPPES |
Oklahoma | MEDICAID | 200674180A |
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