Rockefeller, Tracy L

Rockefeller, Tracy L is an individual health care provider with primary practice located at 1258 Purdytown Tpke , Lakeville PA 18438-6793. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Rockefeller, Tracy L can be contacted via phone (570) 647-9277.

Contact Information

Primary practice address
1258 Purdytown Tpke Lakeville PA 18438-6793
Phone: (570) 647-9277
Fax: (570) 227-0084
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X SP010412 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP010412 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SP010412 Pennsylvania

Profile Details

NPI number 1346472057
LBN Legal business name Rockefeller, Tracy L
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2009
Last updated May 28th, 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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