Provider Demographics
NPI:1588132435
Name:ARAUZA, TRACY LYNNE (FNP)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:LYNNE
Last Name:ARAUZA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2083
Mailing Address - Street 2:
Mailing Address - City:PORTOLA
Mailing Address - State:CA
Mailing Address - Zip Code:96122-2083
Mailing Address - Country:US
Mailing Address - Phone:775-224-3153
Mailing Address - Fax:
Practice Address - Street 1:6490 S MCCARRAN BLVD STE B15
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6120
Practice Address - Country:US
Practice Address - Phone:530-712-2310
Practice Address - Fax:530-712-2311
Is Sole Proprietor?:No
Enumeration Date:2018-11-08
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95009578207P00000X
CA95009578363LF0000X
VA0024179928363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine