Tracy, Brandon S

Tracy, Brandon S is an individual health care provider with primary practice located at 1049 Summers Dr , Rexburg ID 83440-5335. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Tracy, Brandon S can be contacted via phone (208) 359-4841.

Contact Information

Primary practice address
1049 Summers Dr Rexburg ID 83440-5335
Phone: (208) 359-4841
Fax: (208) 359-4842
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP60637 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 60637 Idaho

Profile Details

NPI number 1710403746
LBN Legal business name Tracy, Brandon S
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2017
Last updated Oct 11th, 2019 - about 5 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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