Provider Demographics
NPI:1740566801
Name:BURTON, TRACY ELIZABETH (FNP-C)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:ELIZABETH
Last Name:BURTON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9525 E OLD SPANISH TRL STE 101
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85748-6630
Mailing Address - Country:US
Mailing Address - Phone:520-731-3666
Mailing Address - Fax:520-721-9798
Practice Address - Street 1:9525 E OLD SPANISH TRL STE 101
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85748-6630
Practice Address - Country:US
Practice Address - Phone:520-731-3666
Practice Address - Fax:520-721-9798
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4258363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily