TRACY L DICKISON, CNS, Gerontology DULUTH, MN

Contact Information

TRACY L DICKISON, CNS

400 E 3RD ST
ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805

Phone: 218-786-8364
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gerontology	364SG0600X	89	Certified Clinical Nurse Specialist

Indicates primary specialty

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NPI Profile & details for TRACY L DICKISON · (Female)

NPI #	`1225376338`
Status	Active
Credentials	CNS
Entity	Individual
Enumeration date	01/24/2013
Last updated	06/14/2018 - About 8 years ago
Sole proprietor ¹	No
Identifiers	MN License # CNS0448 MN License # R161111-3 MN Medicaid 1225376338 WI Medicaid 1225376338
Hospital affiliation(s)	ESSENTIA HEALTH DULUTH - (Acute Care) 502 EAST SECOND STREET DULUTH, MN 55805 ESSENTIA HEALTH ST MARY'S MEDICAL CENTER - (Acute Care) 407 EAST THIRD STREET DULUTH, MN 55805

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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TRACY L DICKISON, CNS – NPI #1225376338Gerontology

Contact Information

Specialty

Gerontology

NPI Profile & details for TRACY L DICKISON · (Female)

Reviews for TRACY L DICKISON

TRACY L DICKISON, CNS – NPI #1225376338
Gerontology