Individual
TRACEY H FAN
Active
Individual
TRACEY H FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
287765
MA
2084N0400X
Neurology Physician
DO-06915
IA
2084N0400X
Neurology Physician
OS024561C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA6390894
DRIVER LICENSE
MA
Enumeration date
04/02/2017
Last updated
11/19/2025
Update your record
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 at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up