Provider Demographics
NPI:1558934729
Name:COATS, TRACY (MS, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:
Last Name:COATS
Suffix:
Gender:F
Credentials:MS, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 E WATER ST STE 206
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-2586
Mailing Address - Country:US
Mailing Address - Phone:740-774-3440
Mailing Address - Fax:
Practice Address - Street 1:77 E WATER ST STE 206
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-2586
Practice Address - Country:US
Practice Address - Phone:740-774-3440
Practice Address - Fax:740-774-3442
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-23
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0029321363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health