Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MRS. TRACY ANN PROHUSKA
Active
Individual
MRS. TRACY ANN PROHUSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
86614-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1802-028
ADULT AND PEDIATRIC VENTILATOR CERTIFIED
WI
Enumeration date
01/09/2013
Last updated
01/27/2013
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