Individual provider · Type 1 NPI

Brandon S. Tracy, FNP-C

Nurse Practitioner · Rexburg, ID

NPI number 1710403746 Active

Practice location

1049 Summers Dr
Rexburg, ID 83440-5335

Fax (208) 359-4842

Other practice locations

  • 150 S Main St Ste 1, Driggs, ID 83422-5022 · (208) 359-4841

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XCNP60637 (ID)
Nurse Practitioner Primary 363L00000X60637 (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1710403746

Brandon S. Tracy, FNP-C's National Provider Identifier is 1710403746, issued on Aug 22, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rexburg, ID. The record was last updated on Oct 11, 2019.