Svoboda, Tracy P

Svoboda, Tracy P is an individual health care provider with primary practice located at 2428 W Reynolds Ave , Centralia WA 98531. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Svoboda, Tracy P can be contacted via phone (360) 669-0335.

Contact Information

Primary practice address
2428 W Reynolds Ave Centralia WA 98531
Phone: (360) 669-0335
Fax: (360) 669-0527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP60455419 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60455419 Washington

Profile Details

NPI number 1861733529
LBN Legal business name Svoboda, Tracy P
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2013
Last updated Aug 15th, 2018 - about 6 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 1861733529 NPPES
Washington MEDICAID 2038339

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