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
Fax: (405) 321-6482
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710362538 NPPES
Oklahoma MEDICAID 200674180A

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