Tracey Ann Eckenrod, MSN CRNP
Nurse Practitioner, Family in Johnstown, PA. Individual provider (NPI-1).
NPI number1679901409
StatusActive
Last updated in NPPESSep 14, 2018
Details
- NPI
- 1679901409
- Entity type
- Individual (NPI-1)
- Name
- Tracey Ann Eckenrod
- Credential
- MSN CRNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 14, 2013
- Last updated
- Sep 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP013226 | PA | Yes |
Practice location
136 Jaycee DrJohnstown, PA 15904-3650
Phone 814-467-4055 · Fax 814-467-3783
Mailing address
241 Schoolhouse Rd Ste 201Johnstown, PA 15904-3239
Phone 814-266-5650 · Fax 814-266-5653
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