Individual
TRACY WINGERT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
7321 11TH ST, HILL AFB, UT 84056-5012
(801) 586-9703
Mailing address
6040 SHARON CIR, OGDEN, UT 84403-5006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5838118-4405
UT
Other
Enumeration date
09/01/2005
Last updated
07/08/2007
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