Individual
MRS. TRACY DAWN SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
319 S WILSON ST, CASPER, WY 82601-2943
(307) 577-4832
(307) 577-4841
Mailing address
319 S WILSON ST, CASPER, WY 82601-2943
(307) 577-4832
(307) 577-4841
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
49417
WY
363LF0000X
Family Nurse Practitioner
APN.0993714-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49417
APN LICENSE
WY
01
—
APN.0993714-NP
APN LICENSE
CO
01
—
CS04779
WYOMING CONTROLLED SUBSTANCE NUMBER
WY
01
—
RXN.0103185-NP
PRESCRIPTIVE AUTHORITY
CO
Enumeration date
04/30/2018
Last updated
05/16/2024
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