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NPI Code Detail

MEDICARE: MRS. TRACY HEINECKE R.N.

MEDICARE:  MRS. TRACY  HEINECKE  R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered NurseRN.270440OH

General Provider Information

NPI Number : 1700202025
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TRACY HEINECKE R.N.
Provider Business Mailing Address
First Line : 2260 NW WASHINGTON BLVD
Second Line :
City : HAMILTON
State : OH
Zip : 45013-5832
Country : US
Telephone Number : 513-896-3400
Fax Number :
Provider Business Practice Location Address
First Line : 2260 NW WASHINGTON BLVD
Second Line :
City : HAMILTON
State : OH
Zip : 45013-5832
Country : US
Telephone Number : 513-896-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2014
Last Update Date : 03/11/2014

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Directions to “ MRS. TRACY HEINECKE R.N.” Practice Location

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