Tracy Holmberg, RN
Registered Nurse in Duluth, GA. Individual provider (NPI-1).
NPI number1760147748
StatusActive
Last updated in NPPESNov 3, 2021
Details
- NPI
- 1760147748
- Entity type
- Individual (NPI-1)
- Name
- Tracy Holmberg
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2021
- Certification date
- Nov 3, 2021
- Last updated
- Nov 3, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 202176 | GA | Yes |
Practice location
8915 Muirfield CtDuluth, GA 30097-6618
Phone 678-699-3365
Mailing address
8915 Muirfield CtDuluth, GA 30097-6618
Phone 678-699-3365
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Registered Nurse providers in Duluth · All 2,604 providers in Duluth
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