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TRACY A WHELAN, PA-C – NPI #1790136554
Surgical

NPI Profile for TRACY A WHELAN in NEWARK, DE.

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Contact Information

TRACY A WHELAN, PA-C
4755 OGLETOWN STANTON RD STE 2670
NEWARK, DE  19718-5803
 Phone: 302-733-2438
 Fax: 302-733-4832
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgical

 363AS0400X 97 Physician Assistant
 

Physician Assistant

 363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TRACY A WHELAN · (Female)

NPI Number 1790136554
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/23/2016
Last updated 07/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • DE License # C5-0001081
  • MD License # C08878
  • WA License # PA60805561
Hospital affiliation(s)
  • OVERLAKE HOSPITAL MEDICAL CENTER - (Acute Care)
    1035-116TH AVE NE
    BELLEVUE, WA 98004
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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