Rose, Tracy Sue

Rose, Tracy Sue is an sole proprietor health care provider with primary practice located at 1701 S Creasy Ln , Lafayette IN 47905-4972. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Rose, Tracy Sue can be contacted via phone (765) 502-4000.

Contact Information

Primary practice address
1701 S Creasy Ln Lafayette IN 47905-4972
Phone: (765) 502-4000
Fax: (765) 502-4001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71013031A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71013031A Indiana

Profile Details

NPI number 1770291148
LBN Legal business name Rose, Tracy Sue
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2022
Last updated Apr 6th, 2023 - about 2 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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