Individual
TRACY LYN SHEELY BASBALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1400 MADISON AVE STE 502, MANKATO, MN 56001-5467
(507) 387-2939
(612) 713-6733
Mailing address
300 ROYAL RD, MANKATO, MN 56001-8224
(507) 387-2939
(612) 713-6733
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L571542
MN
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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