Wyatt, Tracey Lynn

Wyatt, Tracey Lynn is an individual health care provider with primary practice located at 8008 Westpark Dr Kaiser Permanente Tysons Corner Medical Center, Mc Lean VA 22102-3109. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wyatt, Tracey Lynn can be contacted via phone (703) 287-6400.

Contact Information

Primary practice address
8008 Westpark Dr Kaiser Permanente Tysons Corner Medical Center Mc Lean VA 22102-3109
Phone: (703) 287-6400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 962035 Virginia

Profile Details

NPI number 1750636031
LBN Legal business name Wyatt, Tracey Lynn
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2012
Last updated Jun 3rd, 2021 - about 4 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 1750636031 NPPES
Virginia Other 962035 COMMISSION ON DIETETIC REGISTRATION

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