Individual
TRACY R ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, MSN
Contact information
Practice address
1015 S HACKETT RD, WATERLOO, IA 50701-3500
(319) 234-5990
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A089231
IA
363LF0000X
Family Nurse Practitioner
089231
IA
Other
Enumeration date
07/18/2012
Last updated
02/04/2022
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