Provider Demographics
NPI:1114176641
Name:FRITZ, TRACY K (MS, RN, FNP-BC, APNP)
Entity Type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:K
Last Name:FRITZ
Suffix:
Gender:F
Credentials:MS, RN, FNP-BC, APNP
Other - Prefix:MISS
Other - First Name:TRACY
Other - Middle Name:K
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:600 N WESTHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54904-6926
Mailing Address - Country:US
Mailing Address - Phone:920-729-7105
Mailing Address - Fax:920-233-6563
Practice Address - Street 1:600 N WESTHAVEN DR
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54904-6926
Practice Address - Country:US
Practice Address - Phone:920-729-7105
Practice Address - Fax:920-233-6563
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3495-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily