Individual
TRACY NIMMERRICHTER-BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00031197
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103449
—
WA
Enumeration date
05/24/2006
Last updated
04/10/2026
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