| Doctor Name: | TRACY WEMPLE |
| NPI Number: | 1083022073 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 22 525636 |
| Business Practice Address: | 2200 Penfield Rd Penfield, NY - 145261711 |
| Business Phone Number: | 5859220084 |
| Business Fax Number: | |
| Mailing Address: | 2200 Penfield Rd, PENFIELD |
| State: | NY |
| Postal Code: | 145261711 |
| Phone Number: | 5859220084 |
| Fax Number: | |
| NPI Enumeration Date: | 07/23/2014 |
| NPI Last Update Date: | 07/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 22 525636 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |