Individual provider · Type 1 NPI

Tracy Lyn Sheely Basballe, LPN

Licensed Practical Nurse · Mankato, MN

NPI number 1609724426 Active

Practice location

1400 Madison Ave Ste 502
Mankato, MN 56001-5467

Call (507) 387-2939 Map

Fax (612) 713-6733

Mailing address

300 Royal Rd
Mankato, MN 56001-8224

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL571542 (MN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1609724426

Tracy Lyn Sheely Basballe, LPN's National Provider Identifier is 1609724426, issued on Mar 18, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mankato, MN. The record was last updated on Mar 18, 2026.