Individual
TRACY J WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2875 S NELLIS BLVD STE 3, LAS VEGAS, NV 89121-2087
(702) 843-2420
(833) 749-0351
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(702) 843-2420
(833) 749-0351
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8072
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053369827
—
NV
01
—
V66036
MEDICARE
NV
Enumeration date
05/04/2006
Last updated
02/13/2026
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