Provider Demographics
NPI:1457532434
Name:COX, TRACY DENISE (RN)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:DENISE
Last Name:COX
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 1:6718 SUNNINGDALE DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7739
Mailing Address - Country:US
Mailing Address - Phone:614-882-6603
Mailing Address - Fax:614-882-6693
Practice Address - Street 1:6718 SUNNINGDALE DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-7739
Practice Address - Country:US
Practice Address - Phone:614-882-6603
Practice Address - Fax:614-882-6693
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH194351163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health