National Provider Identifier Database

TRACY L DYSARD, NP – NPI #1053385344
Family


Contact Information

TRACY L DYSARD, NP
20930 DUPONT BLVD UNIT 202
GEORGETOWN, DE19947-1724
Phone: 302-202-3438
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for TRACY L DYSARD

NPI Number 1053385344
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 02/14/2006
Last updated 07/11/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 041-265219
  • IL Other: L78334 MEDICARE PRIOR 7/15/2007
Hospital affiliation n/a

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.

Reviews for TRACY L DYSARD, NP

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