Individual provider · Type 1 NPI

Tracy Wickersham-Frey, PA-C

Medical Physician Assistant · Gillette, WY

NPI number 1447653456 Active

Practice location

501 S Burma Ave
Gillette, WY 82716-3426

Mailing address

1121 Washington Blvd
Newcastle, WY 82701-2968

Other practice locations

  • 1121 Washington Blvd, Newcastle, WY 82701-2968 · (307) 746-3582
  • 1401 W 5th St, Sheridan, WY 82801-2705 · (307) 672-1100

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1447653456

Tracy Wickersham-Frey, PA-C's National Provider Identifier is 1447653456, issued on Oct 4, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gillette, WY. The record was last updated on Dec 27, 2023.