Individual
TRACY L JOOSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2031 PEACH ST, WISCONSIN RAPIDS, WI 54494-5181
(715) 423-0122
Mailing address
2013 PEACH STREET, WISCONSIN RAPIDS, WI 54494-8040
(715) 423-0122
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4000
WI
Other
Enumeration date
03/12/2010
Last updated
04/17/2012
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