person
Tracy Shanoha Lavette Wofford, NP
Family Nurse Practitioner in Brooklyn Park, Minnesota
NPI 1396134284

Tracy Shanoha Lavette Wofford is a Family Nurse Practitioner based in Brooklyn Park, MN and is specialized in Family. Tracy Shanoha Lavette Wofford practices in Brooklyn Park, MN and has the professional credentials of NP. The NPI Number for Tracy Shanoha Lavette Wofford is 1396134284 and holds a License No. R175874-6 (Minnesota).

The current practice location address for Tracy Shanoha Lavette Wofford is 10174 Florida Cir N, Brooklyn Park, MN and can be reached out via phone at 612-803-9344.

Location: 10174 Florida Cir N, Brooklyn Park, MN, 55445-2767
person
Provider Profile Details
NPI Number
1396134284
Provider Name
Tracy Shanoha Lavette Wofford
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
10174 Florida Cir N, Brooklyn Park, MN, 55445-2767
Phone Number
612-803-9344
Fax Number
Provider Enumeration Date
01/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10174 Florida Cir N
City
State
Zip
55445-2767
Phone Number
612-803-9344
Fax Number
person
Provider Business Mailing Address Details
Address
10174 Florida Cir N
City
State
Zip
55445-2767
Phone Number
612-803-9344
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R175874-6 (Minnesota)
Definition
Definition to come...
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