Young, Tracy P

Young, Tracy P is an individual health care provider with primary practice located at 1100 Andre St Ste 300 Yps Anesthesia, New Iberia LA 70563-2159. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Young, Tracy P can be contacted via phone (337) 364-9225.

Contact Information

Primary practice address
1100 Andre St Ste 300 Yps Anesthesia New Iberia LA 70563-2159
Phone: (337) 364-9225
Fax: (337) 364-6094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN085074 Louisiana

Profile Details

NPI number 1629036785
LBN Legal business name Young, Tracy P
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jun 14th, 2013 - about 11 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 1629036785 NPPES
Louisiana MEDICAID 1111155
Louisiana Other 8082UU
Louisiana MEDICAID 198748905
Louisiana Other 1629036785
Louisiana MEDICAID 198748902

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