Individual provider · Type 1 NPI

Tracie E. Wilson

Driver · Greensburg, IN

NPI number 1073757530 Active

Practice location

3198 W County Road 500 N
Greensburg, IN 47240-9757

Fax (812) 663-8632

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X8918-41-7119 (IN)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1073757530

Tracie E. Wilson's National Provider Identifier is 1073757530, issued on Apr 28, 2009. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Greensburg, IN. The record was last updated on Apr 28, 2009.