NPI 1083645733

Tracy L Estrellado, PAC

Practitioner Medical Physician Assistant Moses Lake, WA

Practice location

Address: 840 E Hill Ave, Moses Lake, WA 98837-2238
Phone: (509) 765-0216
Mailing address: 820 N Chelan Ave, Wenatchee, WA 98801-2028

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA10002438 (WA)

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Registry record

NPI: 1083645733
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jul 2006
Record last updated: 20 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.