Individual provider · Type 1 NPI

Tracey C. Mathis

Driver · Mandan, ND

NPI number 1568385243 Active

Practice location

4530 30th Ave NW Unit 103
Mandan, ND 58554-1322

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

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

About NPI 1568385243

Tracey C. Mathis's National Provider Identifier is 1568385243, issued on Jul 31, 2026. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Mandan, ND. The record was last updated on Jul 31, 2026.