National Provider Identifier

Tracy Lyn Burkhard, LPN

Tracy Lyn Burkhard, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Leicester, NY and a listed phone number of (585) 447-8398.

NPI 1356072516Leicester, NYLicensed Practical Nurse

Profile Overview

NPI
1356072516
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 20, 2022
Last Updated
June 20, 2022

Practice Location

  • 117 Main St
  • Leicester, NY 14481-9646

Phone: (585) 447-8398

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1356072516
Entity Type
Individual
Last Name
Burkhard
First Name
Tracy
Middle Name
Lyn
Name Prefix
MS.
Credential
LPN
Provider Other Last Name
Brown
Provider Other First Name
Tracy
Provider Other Middle Name
Lyn
Provider Other Last Name Type Code
1
Mailing Street Address
117 Main St
Mailing City
Leicester
Mailing State
NY
Mailing ZIP Code
14481-9646
Mailing Country
US
Mailing Phone
(585) 447-8398
Practice Street Address
117 Main St
Practice City
Leicester
Practice State
NY
Practice ZIP Code
14481-9646
Practice Country
US
Practice Phone
(585) 447-8398
Enumeration Date
June 20, 2022
Last Updated
June 20, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
June 20, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)