MEDICARE: TRACY HERPIN FNP

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	363L00000X	Nurse Practitioner	230912	LA

General Provider Information

NPI Number	:	1861176208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY HERPIN FNP

Provider Business Mailing Address
First Line	:	224 ADRIENNE ST
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-2516
Country	:	US
Telephone Number	:	337-207-6073
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 HOSPITAL DR
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-2852
Country	:	US
Telephone Number	:	337-289-7991
Fax Number	:

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

Provider Enumeration Date	:	06/14/2023
Last Update Date	:	03/10/2026

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