TRACY A BOLTON NP NPI 1336138874

NPI Information

NPI: 1336138874
Provider Name: TRACY A BOLTON, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
47 NEW SCOTLAND AVE
ALBANY, NY
ZIP 12208
Phone: (518) 262-5076
Get Directions

Tracy A Bolton, NP is an acute care nurse practitioner in Albany, NY. Tracy A Bolton, NP NPI is 1336138874. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

47 NEW SCOTLAND AVE
ALBANY, NY
ZIP 12208-412
Phone: (518) 262-5076
Fax: (518) 262-5082

The enumeration date for this NPI number is 10/18/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	430140-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P68771	MEDICARE UPIN	NEW YORK
2	02208491	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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