Tracey Marquieta Knutson
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
2818 Wildhurst Trl
Pace
, Florida 32571-6872
Tracey Marquieta Knutson
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
2818 Wildhurst Trl
Pace
, Florida 32571-6872
(850) 686-4210
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Tracey Marquieta Knutson
- 2818 Wildhurst Trl
- Pace, FL
- Zip : 32571-6872
- Phone : (850) 686-4210
Second Address
- Tracey Marquieta Knutson
- 2818 Wildhurst Trl
- Pace, FL
- Zip : 32571-6872
- Phone : (850) 686-4210
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Is Tracey Marquieta Knutson a sole practitioner?
Is Tracey Marquieta Knutson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LF0000X | Nurse Practitioner - Family Medicine | APRN11010976 | FL |
| Y | 363LP2300X | Nurse Practitioner - Primary Care | APRN11010976 | FL |
National Provider Identifier
| NPI | 1083203350 |
|---|---|
| Provider Name | Tracey Marquieta Knutson |
| First Address | Pace, FL 32571-6872 |
| Second Address | Pace, FL 32571-6872 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/01/2021 |
| Last Update Date | 12/01/2021 |
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.