Individual
TRACEY LYNN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2700 S WISCONSIN AVE, RICE LAKE, WI 54868-7524
(715) 403-5880
(833) 972-1582
Mailing address
2700 S WISCONSIN AVE, RICE LAKE, WI 54868-7524
(715) 403-5880
(833) 972-1582
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
127981-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0616090
AANP CERT
WI
Enumeration date
06/09/2016
Last updated
12/18/2024
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