Provider Demographics
NPI:1740472877
Name:LITTLEFIELD, TRACY ANN (NP)
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:ANN
Last Name:LITTLEFIELD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:TRACY
Other - Middle Name:ANN
Other - Last Name:RASMUSSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:45-150 IKENAKAI ST
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744
Mailing Address - Country:US
Mailing Address - Phone:301-633-8664
Mailing Address - Fax:
Practice Address - Street 1:45-150 IKENAKAI ST
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744
Practice Address - Country:US
Practice Address - Phone:301-633-8664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI339363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health