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TRACY MATROS
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1891234761
Individual Registrant: TRACY MATROS
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
32500 173RD ST PIERZ, MN 56364-3136 US
Tel: 320-630-5520 Fax: --
Tel: 320-630-5520 Fax: --
Contact information for business:
32500 173RD ST PIERZ, MN 56364-3136 US
Tel: 320-630-5520 Fax: --
Tel: 320-630-5520 Fax: --
Registration Information:
NPI: 1891234761
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | MN | CNP 5008 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
