Individual provider · Type 1 NPI

Tracy Shanoha Lavette Wofford, APRN, CNP

Registered Nurse · Minneapolis, MN

NPI number 1396134284 Active

Practice location

715 S 8th St
Minneapolis, MN 55404-7530

Call (612) 873-6963 Map

Mailing address

701 Park Ave
Minneapolis, MN 55415-1623

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X3408 (MN)
Registered Nurse Primary 163W00000X1758746 (MN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1396134284

Tracy Shanoha Lavette Wofford, APRN, CNP's National Provider Identifier is 1396134284, issued on Jan 14, 2015. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 5, 2025.