Individual
TRACEY LYNN PARDEE MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13638 NARCISSUS ST NW, ANDOVER, MN 55304-7552
(651) 706-1127
Mailing address
13638 NARCISSUS ST NW, ANDOVER, MN 55304-7552
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R-216908-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R-216908-8
REGISTERED NURSE
MN
Enumeration date
07/19/2016
Last updated
07/19/2016
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