MEDICARE: TRACIE FAWN PFEIFLE LPN-C

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	164W00000X	Licensed Practical Nurse	697	NE
2	164W00000X	Licensed Practical Nurse	16114	NE

General Provider Information

NPI Number	:	1972797306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACIE FAWN PFEIFLE LPN-C

Provider Business Mailing Address
First Line	:	811 WHITE AVE
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68803-4448
Country	:	US
Telephone Number	:	402-890-0153
Fax Number	:

Provider Business Practice Location Address
First Line	:	811 WHITE AVE
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68803-4448
Country	:	US
Telephone Number	:	402-890-0153
Fax Number	:

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

Provider Enumeration Date	:	08/29/2007
Last Update Date	:	08/29/2007

Similar Medicare Providers

1831797091 — YULIYA LEVAKOVA
Practice Location Address:

146 MACFARLAND AVE
STATEN ISLAND, NY
10305-4448

Practice Phone: 347-615-2500
Practice Fax:

1336665769 — ADVANCED PRACTICE NURSE STAFFING ASSOCIATE, LLC
Practice Location Address:

4448 KOINONIA DR NE
GRAND RAPIDS, MI
49525-9332

Practice Phone: 616-649-3776
Practice Fax:

1104335397 — NICOLE ALICE JOY MARESCH
Practice Location Address:

1430 KNAPP ST NE
GRAND RAPIDS, MI
49505-4448

Practice Phone: 616-301-8000
Practice Fax:

1356859011 — SYNERGY HEALTHCARE LLC
Practice Location Address:

664 E GRAND AVE
HOT SPRINGS, AR
71901-4448

Practice Phone: 501-623-4000
Practice Fax: 501-762-8299

1861048597 — ADEOLA AMINAT ADEBAYO PMHNP
Practice Location Address:

2716 WATER OAK DR
GRAND PRAIRIE, TX
75052-4448

Practice Phone: 469-740-2811
Practice Fax:

1033829296 — REBECCA PICCARD LMSW
Practice Location Address:

4448 5 MILE RD NW
GRAND RAPIDS, MI
49544-9797

Practice Phone: 616-260-2962
Practice Fax:

Directions to “ TRACIE FAWN PFEIFLE LPN-C” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.