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NPI Code Detail

MEDICARE: TRACY L BROOKS

MEDICARE: TRACY L BROOKS
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1932054467
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY L BROOKS
Provider Business Mailing Address
First Line : 411 N BRIGGS AVE
Second Line :
City : HASTINGS
State : NE
Zip : 68901-4930
Country : US
Telephone Number : 402-984-1711
Fax Number :
Provider Business Practice Location Address
First Line : 2985 S WABASH AVE
Second Line :
City : HASTINGS
State : NE
Zip : 68901-8357
Country : US
Telephone Number : 402-984-1711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ TRACY L BROOKS ” Practice Location

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