Tracy Ann Threat in Detroit - Nurse Practitioner
Tracy Ann Threat - NPI 1891951711
Tracy Ann Threat is a Nurse Practitioner in Detroit, Michigan. Tracy Ann Threat practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tracy Ann Threat is 1891951711. The last update date is 2021-11-18.
Tracy Ann Threat's current location address is 5555 Conner St Ste 2691, Detroit, Michigan. You can contact this provider via phone number 3136928400 and fax number 3136928427. The mailing address for Tracy Ann Threat is 5555 Conner St Ste 2691, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Ann Threat |
|---|---|
| Address | 5555 Conner St Ste 2691, Detroit, Michigan |
| Phone Number | 3136928400 |
| Fax Number | 3136928427 |
| Sole Proprietor | N |
| Credentials | FNP-BC |
NPI Number Detail
| NPI Number | 1891951711 |
|---|---|
| Provider Enumeration Date | 2008-07-30 |
| Last Updated Date | 2021-11-18 |
Provider Mailing Address Detail
| Address | 5555 Conner St Ste 2691 |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482133812 |
| Phone Number | 3136928400 |
| Fax Number | 3136928427 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4704223743 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11971276 | MI | CAQH ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tracy Ann Threat by the Centers for Medicare & Medicaid Services?
The Tracy Ann Threat has been issued the NPI (National Provider Identifier) 1891951711, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Tracy Ann Threat is located?
The Tracy Ann Threat is situated at the following address: 5555 Conner St Ste 2691, Detroit, MI, 482133812.
What is Tracy Ann Threat's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tracy Ann Threat is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891951711 to Tracy Ann Threat?
The Tracy Ann Threat received its 1891951711 assignment from the Centers for Medicare & Medicaid Services on 2008-07-30.
As of what date were the Tracy Ann Threat's details last updated?
The information pertaining to the Tracy Ann Threat, including its address, specialty, and other details, was most recently updated on 2021-11-18.
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