| NPI | 1063677557 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2008-07-23 |
| Last Updated | 2014-03-19 |
| Mailing Address | 1630 Commanche Ave Green Bay, WI 54313-6089 United States Phone: (920) 430-4700 📍 View Map |
| Primary Practice Address | 1630 Commanche Ave Green Bay, WI 54313-6089 United States Phone: (920) 430-4700 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WI | 36084800 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LF0000X – Nurse Practitioner, Family | WI | 3443-33 |
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About NPI 1063677557
Tracey Lynn Zollar APNP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063677557. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Green Bay, WI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-07-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063677557?
NPI 1063677557 belongs to Tracey Lynn Zollar APNP, a Nurse Practitioner, Family in Green Bay, WI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063677557 active?
The current status of NPI 1063677557 in the NPPES registry is Active. The record was last updated on 2014-03-19.
What specialty is NPI 1063677557?
NPI 1063677557 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063677557?
You can verify NPI 1063677557 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063677557?
The primary practice address on file for NPI 1063677557 is 1630 Commanche Ave, Green Bay, WI 54313-6089. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063677557 issued?
NPI 1063677557 was first issued (enumerated) on 2008-07-23. The NPPES record was last updated on 2014-03-19.
Practice Location Map
Tracey Lynn Zollar is located at 1630 Commanche Ave, Green Bay, WI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Tracey Lynn Zollar. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063677557. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Family | 3443-33 | WI |