Healthcare Provider Details

I. General information

NPI: 1346422235
Provider Name (Legal Business Name): TRACY ELIZABETH POZAR CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TRACY ELIZABETH YUN APNP

II. Dates (important events)

Enumeration Date: 12/03/2007
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4445 WILSHIRE BLVD
MOUND MN
55364-1914
US

IV. Provider business mailing address

4445 WILSHIRE BLVD
MOUND MN
55364-1914
US

V. Phone/Fax

Practice location:
  • Phone: 970-389-5570
  • Fax:
Mailing address:
  • Phone: 970-389-5570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number329912
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number12998
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201050067NP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: