Videtta, Tracy Ann
Videtta, Tracy Ann is an individual health care provider with primary practice located at 27 Jackson St Apt 213 , Lowell MA 01852-2140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Videtta, Tracy Ann can be contacted via phone (617) 697-2721.Contact Information
Primary practice address
27 Jackson St Apt 213
Lowell MA 01852-2140
Phone: (617) 697-2721
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN2299729 | Massachusetts |
Profile Details
| NPI number | 1265194674 |
|---|---|
| LBN Legal business name | Videtta, Tracy Ann |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2021 |
| Last updated | Oct 13th, 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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