Wollenberg, Tracy Shari

Wollenberg, Tracy Shari is an individual health care provider with primary practice located at 650 Huebner Rd , Fort Riley KS 66442-4030. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wollenberg, Tracy Shari can be contacted via phone (785) 240-7652.

Contact Information

Primary practice address
650 Huebner Rd Fort Riley KS 66442-4030
Phone: (785) 240-7652
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 53-76420 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 53-76420 Kansas

Profile Details

NPI number 1730595976
LBN Legal business name Wollenberg, Tracy Shari
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2014
Last updated Mar 23rd, 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 1730595976 NPPES
Kansas MEDICAID 201120250A

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