Mitchell, Tracie Michelle
Mitchell, Tracie Michelle is an sole proprietor health care provider with primary practice located at 1004 South St E , Talladega AL 35160-2621. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mitchell, Tracie Michelle can be contacted via phone (256) 493-6402.Contact Information
Primary practice address
1004 South St E
Talladega AL 35160-2621
Phone: (256) 493-6402
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | 1-072535 | Alabama |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 1-072535 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1-072535 | Alabama |
Profile Details
| NPI number | 1801368618 |
|---|---|
| LBN Legal business name | Mitchell, Tracie Michelle |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2018 |
| Last updated | Mar 4th, 2020 - about 5 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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