Provider Demographics
NPI:1679301642
Name:MEYER, TRACY L (DNP-FNP, ARNP, RN)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:L
Last Name:MEYER
Suffix:
Gender:F
Credentials:DNP-FNP, ARNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 SUMMIT AVE APT N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2833
Mailing Address - Country:US
Mailing Address - Phone:206-930-5561
Mailing Address - Fax:
Practice Address - Street 1:1201 SUMMIT AVE APT N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2833
Practice Address - Country:US
Practice Address - Phone:206-930-5561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61225260163W00000X
WAAP70025866363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse