TRACY A RENN FNP-BC ACNS-BC APNP NPI 1255409546

NPI Information

NPI: 1255409546
Provider Name: TRACY A RENN, FNP-BC, ACNS-BC APNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
246 TIERNEY DR
NEW RICHMOND, WI
ZIP 54017
Phone: (715) 246-2521
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Tracy A Renn, FNP-BC, ACNS-BC APNP is a family nurse practitioner in New Richmond, WI. Tracy A Renn, FNP-BC, ACNS-BC APNP NPI is 1255409546. 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:

246 TIERNEY DR
NEW RICHMOND, WI
ZIP 54017-515
Phone: (715) 246-2521
Fax: (715) 246-7977

The enumeration date for this NPI number is 12/4/2006 and was last updated on 9/7/2008.

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	364SA2200X	Clinical Nurse Specialist	Adult Health	2006008321-05	WISCONSIN	No
2	363LF0000X	Nurse Practitioner	Family	2077005215-22	WISCONSIN	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
1	36024100	MEDICAID	WISCONSIN
2	Q76506	MEDICARE UPIN	WISCONSIN
3	000456060	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN

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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