Provider Demographics
NPI:1912240037
Name:ADKINS, TRACY S (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:S
Last Name:ADKINS
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 WINCHESTER WAY
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:WI
Mailing Address - Zip Code:54720-2856
Mailing Address - Country:US
Mailing Address - Phone:715-227-4700
Mailing Address - Fax:715-227-4701
Practice Address - Street 1:1470 RIVERS EDGE TRL
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:WI
Practice Address - Zip Code:54720-2755
Practice Address - Country:US
Practice Address - Phone:159-301-9447
Practice Address - Fax:715-930-7301
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI158683-30163WW0101X, 363LW0102X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health