Individual provider · Type 1 NPI

Tracy Ann Moe, APRN CNP

Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1255830774 Active

Practice location

2512 S 7th St
Minneapolis, MN 55454

Call (612) 365-6777 Map

Fax (612) 365-8001

Mailing address

2450 Riverside Ave
Minneapolis, MN 55454-1450

Other practice locations

  • 909 Fulton St SE, Minneapolis, MN 55455-4800 · (612) 672-7422
  • 2450 Riverside Ave, Minneapolis, MN 55454-1450 · (612) 273-0491

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X171947-1 (MN)
Pediatric Nurse Practitioner Primary 363LP0200X5748 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1255830774

Tracy Ann Moe, APRN CNP's National Provider Identifier is 1255830774, issued on Feb 10, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 3, 2018.