Individual
TRACY LYNN MINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W230S8945 CLARK ST, BIG BEND, WI 53103-9479
(262) 951-1207
Mailing address
W230S8945 CLARK ST, BIG BEND, WI 53103-9479
(262) 951-1207
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
154269-30
WI
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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