Provider Demographics
NPI:1194919506
Name:ESTES, TRACY STEPHANIE (PHD, DNP, RN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:TRACY
Middle Name:STEPHANIE
Last Name:ESTES
Suffix:
Gender:F
Credentials:PHD, DNP, RN, FNP-BC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1400 PHILADELPHIA PIKE STE A4
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-1856
Mailing Address - Country:US
Mailing Address - Phone:302-375-6746
Mailing Address - Fax:302-375-6822
Practice Address - Street 1:1400 PHILADELPHIA PIKE STE A4
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809
Practice Address - Country:US
Practice Address - Phone:302-375-6746
Practice Address - Fax:302-375-6822
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC002617363LF0000X
DELG-0000689363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily