Provider Demographics
NPI:1932345733
Name:PACE, TRICIA ANN (RN)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:ANN
Last Name:PACE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:ANN
Other - Last Name:HEILMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:6675 WILDWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:ROBSTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78380-5323
Mailing Address - Country:US
Mailing Address - Phone:361-384-9233
Mailing Address - Fax:361-384-9233
Practice Address - Street 1:6675 WILDWOOD CIR
Practice Address - Street 2:
Practice Address - City:ROBSTOWN
Practice Address - State:TX
Practice Address - Zip Code:78380-5323
Practice Address - Country:US
Practice Address - Phone:361-384-9233
Practice Address - Fax:361-384-9233
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX644814163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care