Individual provider · Type 1 NPI
Tracy Kubat
Ambulatory Care Registered Nurse · St. Cloud, MN
NPI number
1053178699
Active
Practice location
4801 Veterans Dr
St. Cloud, MN 56303-2015
Mailing address
16495 145th St NE
Foley, MN 56329-9255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | 2511773 (MN) |
| General Practice Registered Nurse | 163WG0000X | 2511773 (MN) |
Ambulatory Care Registered Nurse: Definition to come...
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About NPI 1053178699
Tracy Kubat's National Provider Identifier is 1053178699, issued on Feb 29, 2024. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in St. Cloud, MN. The record was last updated on Mar 19, 2026.