Stevens, Tracy

Stevens, Tracy is an sole proprietor health care provider with primary practice located at 280 Seward Street , Rochester NY 14608. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Religious Nonmedical Nursing Personnel, Nursing Service Providers / Registered Nurse. Nursing Service Related Providers / Religious Nonmedical Nursing Personnel is her primary health care specialty. Stevens, Tracy can be contacted via phone (585) 201-9008.

Contact Information

Primary practice address
280 Seward Street Rochester NY 14608
Fax: (585) 235-4123
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Religious Nonmedical Nursing Personnel 374T00000X 494408-1 New York
Nursing Service Providers / Registered Nurse 163W00000X 494408 New York

Profile Details

NPI number 1033397252
LBN Legal business name Stevens, Tracy
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2008
Last updated Jun 20th, 2011 - about 14 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 1033397252 NPPES
New York MEDICAID 02141808

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