Individual
TRACY L QUACKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 JENNIFER LN, WEST SALEM, WI 54669-9286
(608) 792-4772
Mailing address
117 JENNIFER LN, WEST SALEM, WI 54669-9286
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
174594
WI
Other
Enumeration date
09/11/2025
Last updated
10/24/2025
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