TRACY ANNE DAZET


Address: 6128 Pelican Crossing Dr, Gonzales, LA 70737-8616
Phone: 9013516701

TRACY ANNE DAZET (NPI# 1679086433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679086433
Entity Type Individual
Full Name TRACY ANNE DAZET
Credential RN
Practice Address 6128 Pelican Crossing Dr
Gonzales
LA 70737-8616
Practice Telephone 9013516701
Mailing Telephone 9013516701
Enumeration Date 2017-11-14
Last Update Date 2017-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
RN134163 LA Nursing Service Providers

Office Location

Street Address 6128 PELICAN CROSSING DR
City GONZALES
State LA
Zip Code 70737-8616

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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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Competitor

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City GONZALES
Zip Code 70737

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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