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Tracey Wilson

Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine

29 S Greene St
Baltimore , Maryland 21201-1504

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Acute Care
  • Nurse Practitioner - Critical Care Medicine

Languages spoken

  • English

Location

29 S Greene St Baltimore , Maryland 21201-1504

First Address

  • Tracey Wilson
  • Po Box 64442
  • Baltimore, MD
  • Zip : 21264-4442
  • Phone : (410) 328-8141

Second Address

  • Tracey Wilson
  • 29 S Greene St
  • Baltimore, MD
  • Zip : 21201-1504
  • Phone : (410) 328-8141

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FAQs


Where did Tracey Wilson attend graduate school?

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Where did Tracey Wilson do her residency?

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Where did Tracey Wilson do her fellowship?

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Is Tracey Wilson board certified?

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What type of doctor is Tracey Wilson

Nurse Practitioner - Critical Care Medicine

In what state does Tracey Wilson practice in?

Maryland

Where is Tracey Wilson ’s practice located?

29 S Greene St , Baltimore, Maryland, 21201-1504

What is Tracey Wilson ’s gender?

Female

Is Tracey Wilson a sole practitioner?

No

Is Tracey Wilson accepting new patients?

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What languages does Tracey Wilson speak?

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Does Tracey Wilson accept insurance?

Yes, Tracey Wilson accepts insurance

Does Tracey Wilson offers telemedicine?

Tracey Wilson has not indicated if she offers telemedicine

What is Tracey Wilson ’s professional license number?

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What is Tracey Wilson ’s NPI number?

1487828885

Does Tracey Wilson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 363LA2100X Nurse Practitioner - Acute Care R115362 MD
Y 363LC0200X Nurse Practitioner - Critical Care Medicine R115362 MD

National Provider Identifier

NPI 1487828885
Provider Name Tracey Wilson
First Address Baltimore, MD 21264-4442
Second Address Baltimore, MD 21201-1504
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 16/04/2008
Last Update Date 12/08/2015

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
419033500 (05) MD
960542-01 & 02 BLUE CROSS/BLUE SHIELD (01) MD
S062-0375 BLUE SHIELD REGIONAL (01) MD

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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