Tordella, Tracey E
Tordella, Tracey E is an individual health care provider with primary practice located at 201 E Sample Rd , Pompano Beach FL 33064-3502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tordella, Tracey E can be contacted via phone (954) 786-5151.Contact Information
Primary practice address
201 E Sample Rd
Pompano Beach FL 33064-3502
Phone: (954) 786-5151
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP1517702 | Florida |
Profile Details
NPI number | 1023072998 |
---|---|
LBN Legal business name | Tordella, Tracey E |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 17th, 2006 |
Last updated | Feb 9th, 2015 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023072998 | NPPES |
Florida | MEDICAID | 303697900 |
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