Miss Tracy Daum
Nurse Practitioner - Acute Care Nurse Practitioner - Gerontology
1307 Federal St Ste B100
Pittsburgh
, Pennsylvania 15212-4761
Miss Tracy Daum
Nurse Practitioner - Acute Care Nurse Practitioner - Gerontology
1307 Federal St Ste B100
Pittsburgh
, Pennsylvania 15212-4761
(412) 359-8977
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About
Features
Specialties
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Miss Tracy Daum
- 1307 Federal St Ste B100
- Pittsburgh, PA
- Zip : 15212-4761
- Fax : (412) 359-8977
- Phone : (412) 359-8900
Second Address
- Miss Tracy Daum
- 1307 Federal St Ste B100
- Pittsburgh, PA
- Zip : 15212-4761
- Fax : (412) 359-8977
- Phone : (412) 359-8900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2100X | Nurse Practitioner - Acute Care | SP015450 | PA |
| Y | 363LG0600X | Nurse Practitioner - Gerontology | SP015450 | PA |
National Provider Identifier
| NPI | 1053786905 |
|---|---|
| Provider Name | Miss Tracy Daum |
| First Address | Pittsburgh, PA 15212-4761 |
| Second Address | Pittsburgh, PA 15212-4761 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/12/2015 |
| Last Update Date | 07/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 13845751 | CAQH (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.