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Individual

TRACY BIRKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
5390 LONGLEY LN, RENO, NV 89511-2291
(775) 302-0000
(775) 260-0368
Mailing address
5390 LONGLEY LN, RENO, NV 89511-2291
(775) 302-0000
(775) 260-0368

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA684
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002416241
NV
Enumeration date
08/19/2005
Last updated
02/05/2026
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