Provider Demographics
NPI:1073406757
Name:LINDELL, TRACY MARIE
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:MARIE
Last Name:LINDELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:572 12TH RD
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:NE
Mailing Address - Zip Code:68788-4083
Mailing Address - Country:US
Mailing Address - Phone:402-380-0994
Mailing Address - Fax:
Practice Address - Street 1:572 12TH RD
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:NE
Practice Address - Zip Code:68788-4083
Practice Address - Country:US
Practice Address - Phone:402-380-0994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker