person
Tracey Joanne Fender, PNP
Pediatric Nurse Practitioner in Tuba City, Arizona
NPI 1275729832

Tracey Joanne Fender is a Pediatric Nurse Practitioner based in Tuba City, AZ and is specialized in Pediatrics. Tracey Joanne Fender practices in Tuba City, AZ and has the professional credentials of PNP. The NPI Number for Tracey Joanne Fender is 1275729832 and holds a License No. AP2858 (Arizona).

The current practice location address for Tracey Joanne Fender is 167 North Main St., Tuba City, AZ and can be reached out via phone at 928-283-2679.

Location: 167 North Main St., Tuba City, AZ, 86045
person
Provider Profile Details
NPI Number
1275729832
Provider Name
Tracey Joanne Fender
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
167 North Main St., Tuba City, AZ, 86045
Phone Number
928-283-2679
Fax Number
Provider Enumeration Date
09/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN2271333 01 MA STATE
AP2858 01 AZ AZ STATE BOARD OF NURSING
064991-23 01 NH STATE
institution
Provider Business Practice Location Address Details
Address
167 North Main St.
City
State
Zip
86045
Phone Number
928-283-2679
Fax Number
person
Provider Business Mailing Address Details
Address
167 North Main St.
City
State
Zip
86045
Phone Number
928-283-2679
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP2858 (Arizona)
Definition
Definition to come...
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