Provider Demographics
NPI:1083909824
Name:WARING, TRACY SUSAN (CD(DONA))
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:SUSAN
Last Name:WARING
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LARNED
Mailing Address - State:KS
Mailing Address - Zip Code:67550-3104
Mailing Address - Country:US
Mailing Address - Phone:785-331-7165
Mailing Address - Fax:620-285-8996
Practice Address - Street 1:112 E 6TH ST
Practice Address - Street 2:
Practice Address - City:LARNED
Practice Address - State:KS
Practice Address - Zip Code:67550-3104
Practice Address - Country:US
Practice Address - Phone:785-331-7165
Practice Address - Fax:620-285-8996
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula