Provider Demographics
NPI:1114176641
Name:FRITZ, TRACY K (APNP, FNPBC, PMHNP)
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:K
Last Name:FRITZ
Suffix:
Gender:
Credentials:APNP, FNPBC, PMHNP
Other - Prefix:MISS
Other - First Name:TRACY
Other - Middle Name:K
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:W6144 AEROTECH DR
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54914-7503
Mailing Address - Country:US
Mailing Address - Phone:920-733-2065
Mailing Address - Fax:920-733-6565
Practice Address - Street 1:W6144 AEROTECH DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-7503
Practice Address - Country:US
Practice Address - Phone:920-733-2065
Practice Address - Fax:920-733-6565
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3495-33363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily