Tracy Mills, ARNP | |
2500 E 22nd St, Cleveland, OH 44115-3204 | |
(216) 931-1413 | |
Not Available |
Full Name | Tracy Mills |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 2500 E 22nd St, Cleveland, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912161373 | NPI | - | NPPES |
291434 | Other | OH | OH RN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN9352533 (Florida) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 291434 (Ohio) | Primary |
Entity Name | Rmed Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508815358 PECOS PAC ID: 6608768411 Enrollment ID: O20040326000760 |
Entity Name | Vk Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629473822 PECOS PAC ID: 5799001004 Enrollment ID: O20150304001562 |
Mailing Address | Practice Location Address |
---|---|
Tracy Mills, ARNP 1205 Monument Rd, Ste 301, Jacksonville, FL 32225-6482 Ph: (216) 931-1413 | Tracy Mills, ARNP 2500 E 22nd St, Cleveland, OH 44115-3204 Ph: (216) 931-1413 |
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