Tracey Wyttenbach, LPN is a
Licensed Practical Nurse based in Seminole, Florida. Tracey Wyttenbach is licensed to practice in Florida (license number PN5223302) and her current practice location is
5640 Seminole Blvd Lot 349, Seminole, Florida. She can be reached at her office (for appointments etc.) via phone at
(407) 276-7519.
NPI number for Tracey Wyttenbach is 1639521057 and her current mailing address is 5640 Seminole Blvd Lot 349, Seminole, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639521057.
Provider's Profile
Full Name | Tracey Wyttenbach |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 5640 Seminole Blvd Lot 349, Seminole, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639521057
- Provider Enumeration Date: 07/09/2016
- Last Update Date: 07/09/2016
Medical Identifiers
Medical identifiers for Tracey Wyttenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639521057 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN5223302 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracey Wyttenbach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tracey Wyttenbach, LPN 5640 Seminole Blvd Lot 349, Seminole, FL 33772-7326 Ph: (407) 276-7519 | Tracey Wyttenbach, LPN 5640 Seminole Blvd Lot 349, Seminole, FL 33772-7326 Ph: (407) 276-7519 |
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