Tracy, Shelli D.

Tracy, Shelli D. is an individual health care provider with primary practice located at 6700 W 9Th Ave , Amarillo TX 79106-1701. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tracy, Shelli D. can be contacted via phone (806) 358-0200.

Contact Information

Primary practice address
6700 W 9Th Ave Amarillo TX 79106-1701
Phone: (806) 358-0200
Fax: (806) 356-5590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP133519 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP133519 Texas

Profile Details

NPI number 1366983504
LBN Legal business name Tracy, Shelli D.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2017
Last updated Dec 7th, 2021 - about 3 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 1366983504 NPPES
Texas Other 1R0964 MEDICARE
Texas MEDICAID 369856502 MEDICARE

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