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Contact Information

TRACY M SAGE, LPN
1750 W BROADWAY
COUNCIL BLUFFS, IA51501-3814
 Phone: 712-215-6588
 Fax: 712-322-9585
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for TRACY M SAGE · (Female)

NPI # 1760333090
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 02/04/2026
Last updated 02/04/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • IA License # P48661
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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