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NPI Code Detail

MEDICARE: TRACEY C ZAUN

MEDICARE: TRACEY C ZAUN
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
1235Z00000XSpeech-Language Pathologist58520ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760548192
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACEY C ZAUN
Provider Business Mailing Address
First Line : 1007 3RD AVE NW
Second Line :
City : VALLEY CITY
State : ND
Zip : 58072-2114
Country : US
Telephone Number : 701-845-0309
Fax Number :
Provider Business Practice Location Address
First Line : 232 3RD ST NE
Second Line :
City : VALLEY CITY
State : ND
Zip : 58072-3014
Country : US
Telephone Number : 701-845-3402
Fax Number : 701-845-3408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2006
Last Update Date : 07/08/2007

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Directions to “ TRACEY C ZAUN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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