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NPI Code Detail

MEDICARE: TRACY L VEARRIER PA-C

MEDICARE:   TRACY L VEARRIER  PA-C
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
1363A00000XPhysician AssistantPAC0301ND

General Provider Information

NPI Number : 1043255755
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY L VEARRIER PA-C
Provider Business Mailing Address
First Line : 2520 N 7TH ST
Second Line :
City : BISMARCK
State : ND
Zip : 58503-1164
Country : US
Telephone Number : 701-223-6595
Fax Number :
Provider Business Practice Location Address
First Line : 2520 N 7TH ST
Second Line :
City : BISMARCK
State : ND
Zip : 58503-1164
Country : US
Telephone Number : 701-223-6595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 03/18/2026

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Directions to “ TRACY L VEARRIER PA-C” Practice Location

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