Provider Demographics
NPI:1417125196
Name:ZEIL, TRACY A (RN)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:A
Last Name:ZEIL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4591 PALM BROOKE CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-7528
Mailing Address - Country:US
Mailing Address - Phone:860-463-0453
Mailing Address - Fax:
Practice Address - Street 1:4591 PALM BROOKE CIR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-7528
Practice Address - Country:US
Practice Address - Phone:860-463-0453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9230664163W00000X
CT072541163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse