Healthcare Provider Details

I. General information

NPI: 1427563246
Provider Name (Legal Business Name): TRACY L STEARNS-CHURCH ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TRACY LEE ENGEL

II. Dates (important events)

Enumeration Date: 12/04/2017
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 BRIDGEPORT WAY W
UNIVERSITY PLACE WA
98466-4614
US

IV. Provider business mailing address

2901 BRIDGEPORT WAY W
UNIVERSITY PLACE WA
98466-4614
US

V. Phone/Fax

Practice location:
  • Phone: 253-534-7000
  • Fax: 253-534-7099
Mailing address:
  • Phone: 253-534-7000
  • Fax: 253-534-7099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60895997
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP60895997
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP60895997
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: