Individual
TRACY ANN WHELAN
Active
Individual
TRACY ANN WHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C5-0001081
DE
363AS0400X
Surgical Physician Assistant
Primary
C08878
MD
363AS0400X
Surgical Physician Assistant
PA60805561
WA
Other
Enumeration date
06/23/2016
Last updated
07/12/2024
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