Individual provider · NPI-1

Tracie Marie Halvorsen, MSN, RN, AGCNS-BC

Clinical Nurse Specialist · Madison, WI

NPI number1821875451
StatusActive
Last updated in NPPESSep 8, 2023

Details

NPI
1821875451
Entity type
Individual (NPI-1)
Name
Tracie Marie Halvorsen
Credential
MSN, RN, AGCNS-BC
Sex
Female
Sole proprietor
No
Enumeration date
Sep 8, 2023
Certification date
Sep 8, 2023
Last updated
Sep 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364S00000X Clinical Nurse Specialist11449-33WIYes
364SA2200X Clinical Nurse Specialist, Adult Health11449-33WI
364SG0600X Clinical Nurse Specialist, Gerontology11449-33WI

Practice location

700 S Park St
Madison, WI 53715-1830

Phone 608-258-5000

Mailing address

N1949 County Rd N
Columbus, WI 53925-9766

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.

Other Clinical Nurse Specialist providers in Madison, WI