MEDICARE: MRS. TRACY K FRITZ APNP, FNPBC, PMHNP

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
1	363LF0000X	Family Nurse Practitioner	3495-33	WI
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	3495-33	WI

General Provider Information

NPI Number	:	1114176641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TRACY K FRITZ APNP, FNPBC, PMHNP

Provider Business Mailing Address
First Line	:	201 N MAYFAIR RD.
Second Line	:	2ND FLOOR
City	:	WAUWATOSA
State	:	WI
Zip	:	53226-4216
Country	:	US
Telephone Number	:	414-771-8228
Fax Number	:	414-256-1902

Provider Business Practice Location Address
First Line	:	201 N MAYFAIR RD
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53226-4216
Country	:	US
Telephone Number	:	414-771-8228
Fax Number	:	414-256-1902

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2008
Last Update Date	:	12/12/2025

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