TRACY LYNN MINGO


Address: W230s8945 Clark St, Big Bend, WI 53103-9479
Phone: 2629511207

TRACY LYNN MINGO (NPI# 1811390917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811390917
Entity Type Individual
Full Name TRACY LYNN MINGO
Credential RN
Practice Address W230s8945 Clark St
Big Bend
WI 53103-9479
Practice Telephone 2629511207
Mailing Telephone 2629511207
Enumeration Date 2014-10-02
Last Update Date 2014-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WE0003X Registered Nurse
Specialization: Emergency
154269-30 WI Nursing Service Providers

Office Location

Street Address W230S8945 CLARK ST
City BIG BEND
State WI
Zip Code 53103-9479

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NPI Name Taxonomy Address Enumeration
1932404654 Town of Vernon Ambulance W233 S7475 Woodland Ln, Big Bend, WI 53103 2011-01-12
1932304722 Halpin Family Chiropractic and Rehab Center S.c. Chiropractor W236 S7050 Hwy 164 Ste. 4, Big Bend, WI 53103 2007-06-20
1063554723 Sean Cedric Halpin Chiropractor W236 S7050 Hwy164, Ste. 4, Big Bend, WI 53103 2007-02-12
1487706057 Jerome Drugs Inc Pharmacy W230s8715 Clark St, Big Bend, WI 53103 2007-01-17
1073674560 James M Roadt Dentist W23657050 Big Bend Drive, Big Bend, WI 53103 2006-12-12
1205862133 Hammer Rehab & Fitness, Ltd Occupational Therapist W 231 S 7680 Big Bend Dr., Big Bend, WI 53103 2006-06-23
1861654113 Barbara Ann Prosen Physical Therapy Assistant W237s7855 Westwood Dr, Big Bend, WI 53103-9407 2008-06-27
1083962906 Kristi Lang Registered Nurse W228s9140 Putnam St, Big Bend, WI 53103-9414 2012-08-27
1427282839 Gina Marie Mullooly Anesthesiology W223s6915 Alameda Dr, Big Bend, WI 53103-9440 2009-05-13
1467826479 Thomas Wesley Durable Medical Equipment & Medical Supplies S82w22885 Parkwood Trl, Big Bend, WI 53103-9453 2015-11-15
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Taxonomy Information

Taxonomy Code 163WE0003X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Emergency

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427526730 Andrea Elizabeth Rausch Registered Nurse 2913 South Ave, La Crosse, WI 54601-6424 2018-11-05
1588015150 William Tobin Registered Nurse 120 N Beebe Ave, Peshtigo, WI 54157-1301 2016-06-24
1578911723 Michael Perri Registered Nurse 1511 15th Ct, Kenosha, WI 53140-1507 2016-05-28
1487994414 Stefanie L Pipia Registered Nurse 526 Hartridge Dr, Hartland, WI 53029-2630 2013-02-28
1144509605 Jerica Amber Robinson Registered Nurse 6 Oakbridge Ct, Madison, WI 53717-1600 2011-08-15
1679545313 Sandra Kay Charron Registered Nurse 2363 S 102nd St, Suite#202, Milwaukee, WI 53227-2143 2006-02-06
1124658422 Jeremy Scott Wells Registered Nurse 1506 S Oneida St, Appleton, WI 54915-1305 2020-01-25
1730727710 Lynsey Michelle Weber Registered Nurse 13380 W Trepania Rd, Hayward, WI 54843 2019-12-20
1669992004 Heidi Capodarco Registered Nurse 9555 76th St, Pleasant Prairie, WI 53158-1984 2017-06-27
1528234085 Kimula A Wilson Registered Nurse 5300 W Villard Ave, Milwaukee, WI 53218-4345 2008-05-05
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Competitor

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City BIG BEND
Zip Code 53103

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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