MEDICARE: TRACY ELIZABETH POZAR CFNP

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	201050067NP	OR
2	363L00000X	Nurse Practitioner	329912	AZ
3	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	12998	MN

General Provider Information

NPI Number	:	1346422235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY ELIZABETH POZAR CFNP

Provider Business Mailing Address
First Line	:	4445 WILSHIRE BLVD
Second Line	:
City	:	MOUND
State	:	MN
Zip	:	55364-1914
Country	:	US
Telephone Number	:	970-389-5570
Fax Number	:

Provider Business Practice Location Address
First Line	:	4445 WILSHIRE BLVD
Second Line	:
City	:	MOUND
State	:	MN
Zip	:	55364-1914
Country	:	US
Telephone Number	:	970-389-5570
Fax Number	:

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

Provider Enumeration Date	:	12/03/2007
Last Update Date	:	01/09/2026

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