TRACEY J FENDER, P.N.P., Pediatrics TUBA CITY, AZ

Contact Information

TRACEY J FENDER, P.N.P.

167 NORTH MAIN ST.
TUBA CITY, AZ 86045

Phone: 928-283-2679
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Pediatrics	363LP0200X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for TRACEY J FENDER · (Female)

NPI #	`1275729832`
Status	Active
Credentials	P.N.P.
Entity	Individual
Enumeration date	09/18/2007
Last updated	05/16/2013 - About 13 years ago
Sole proprietor ¹	No
Identifiers	AZ License # AP2858 NH License # 064991-23 AZ Other AP2858 AZ STATE BOARD OF NURSING MA Other RN2271333 STATE NH Other 064991-23 STATE
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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TRACEY J FENDER, P.N.P. – NPI #1275729832Pediatrics

Contact Information

Specialty

Pediatrics

NPI Profile & details for TRACEY J FENDER · (Female)

Reviews for TRACEY J FENDER

TRACEY J FENDER, P.N.P. – NPI #1275729832
Pediatrics