Doctor Name: | TRACEY JEAN SCHLANGEN |
NPI Number: | 1477963684 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.R.N.P. |
License Number: | A110364 |
Business Practice Address: | 321 8th Ave W Cresco, IA - 521361064 |
Business Phone Number: | 5635472022 |
Business Fax Number: | 5635474340 |
Mailing Address: | 713 5th Ave E, CRESCO |
State: | IA |
Postal Code: | 521361321 |
Phone Number: | 5635473751 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2014 |
NPI Last Update Date: | 04/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A110364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |