Individual
TRACY L ROCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3740 UTICA RIDGE RD, SUITE B, BETTENDORF, IA 52722-1657
(563) 344-7400
(563) 359-9395
Mailing address
3740 UTICA RIDGE RD, SUITE B, BETTENDORF, IA 52722-1657
(563) 344-7400
(563) 359-9395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209-006162
IL
363LF0000X
Family Nurse Practitioner
Primary
A083846
IA
363LP0200X
Pediatric Nurse Practitioner
A083846
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209006162
ILLINOIS LICENSE
IL
01
—
408010023
IOWA MEDICARE PTAN
IA
01
—
A083846
IOWA LICENSE
IA
01
—
F400194596
ILLINOIS MEDICARE PTAN
IL
Enumeration date
06/24/2005
Last updated
07/14/2016
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