Most Relevant Information
Provider Data
NPI Number: | 1003379629 |
Provider Name: | TRACY M ORELLANA APRN |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | 78732 |
Most Important Dates
Enumeration Date: | 04/10/2019 |
Last Updated: | 06/13/2023 |
Provider Practice Location
3011 N MICHIGAN ST
PITTSBURG
KS
667622546
Practice Location Phone/Fax
Phone: | 6202405600 |
Fax: |
Provider Mailing Location
707 SPRINGHILL DR
CARL JUNCTION
MO
648349221
Provider Mailing Phone/Fax
Phone: | 4174838082 |
Fax: |