Individual
TRACEY JOANNE FENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
167 NORTH MAIN ST., TUBA CITY, AZ 86045
(928) 283-2679
Mailing address
167 NORTH MAIN ST., TUBA CITY, AZ 86045
(928) 283-2679
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
064991-23
NH
363LP0200X
Pediatric Nurse Practitioner
Primary
AP2858
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064991-23
STATE
NH
01
—
AP2858
AZ STATE BOARD OF NURSING
AZ
01
—
RN2271333
STATE
MA
Enumeration date
09/18/2007
Last updated
05/16/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us