Individual provider · Type 1 NPI

Randall Scott Tracy, NP-C MSN CNOR RNFA

Nurse Practitioner · Fort Worth, TX

NPI number 1114429495 Active

Practice location

1800 Park Place Ave
Fort Worth, TX 76110-1302

Mailing address

533 Riverbed Dr
Crowley, TX 76036-3543

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP135853 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1114429495

Randall Scott Tracy, NP-C MSN CNOR RNFA's National Provider Identifier is 1114429495, issued on Mar 2, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 16, 2018.