Individual
TRACY PANKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2611 WAYNE AVE, DAYTON, OH 45420-1833
(937) 228-0579
Mailing address
2611 WAYNE AVE, DAYTON, OH 45420-1833
(513) 502-8677
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN348898
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.019390
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.019390
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.019390
OH
Other
Enumeration date
08/08/2010
Last updated
04/25/2025
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