Individual provider · Type 1 NPI
Tracy Banghart, NP
Family Nurse Practitioner · La Porte, IN
NPI number
1689332041
Active
Practice location
1331 State St Ste 340
La Porte, IN 46350-3112
Fax (219) 324-0827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gastroenterology Registered Nurse | 163WG0100X | 71011976A (IN) |
| Family Nurse Practitioner Primary | 363LF0000X | 71011976A (IN) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1689332041
Tracy Banghart, NP's National Provider Identifier is 1689332041, issued on Dec 2, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in La Porte, IN. The record was last updated on Aug 29, 2022.