Individual provider · NPI-1

Tracy Kubat

Registered Nurse, Ambulatory Care · Saint Cloud, MN

NPI number1053178699
StatusActive
Last updated in NPPESMar 19, 2026

Details

NPI
1053178699
Entity type
Individual (NPI-1)
Name
Tracy Kubat
Sex
Female
Sole proprietor
No
Enumeration date
Feb 29, 2024
Certification date
Mar 19, 2026
Last updated
Mar 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP2201X Registered Nurse, Ambulatory Care2511773MNYes
163WG0000X Registered Nurse, General Practice2511773MN

Practice location

4801 Veterans Dr
Saint Cloud, MN 56303-2015

Phone 320-252-1670

Mailing address

16495 145th St Ne
Foley, MN 56329-9255

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