MISS TRACY DAUM DNP CRNP NPI 1053786905

NPI Information

NPI: 1053786905
Provider Name: MISS TRACY DAUM, DNP, CRNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1307 FEDERAL ST STE B100
PITTSBURGH, PA
ZIP 15212
Phone: (412) 359-8900
Get Directions

MISS Tracy Daum, DNP, CRNP is a gerontology nurse practitioner in Pittsburgh, PA with 9 years of experience. MISS Tracy Daum, DNP, CRNP NPI is 1053786905. 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:

1307 FEDERAL ST STE B100
PITTSBURGH, PA
ZIP 15212-761
Phone: (412) 359-8900
Fax: (412) 359-8977

The NPI 1053786905 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/3/2015 and was last updated on 4/8/2022.

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	SP015450	PENNSYLVANIA	No
2	363LG0600X	Nurse Practitioner	Gerontology	SP015450	PENNSYLVANIA	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	13845751	OTHER	PENNSYLVANIA	CAQH

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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