National Provider Identifier

Tracy Lynn Ries, LPN

Tracy Lynn Ries, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Bergen, NY and a listed phone number of (585) 402-8343.

NPI 1639412455Bergen, NYLicensed Practical Nurse

Profile Overview

NPI
1639412455
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 29, 2013
Last Updated
March 29, 2013

Practice Location

  • 7035 S Lake RD
  • Bergen, NY 14416-9355

Phone: (585) 402-8343

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1639412455
Entity Type
Individual
Last Name
Ries
First Name
Tracy
Middle Name
Lynn
Name Prefix
Miss
Credential
LPN
Mailing Street Address
7035 S Lake RD
Mailing City
Bergen
Mailing State
NY
Mailing ZIP Code
14416-9355
Mailing Country
US
Mailing Phone
(585) 402-8343
Practice Street Address
7035 S Lake RD
Practice City
Bergen
Practice State
NY
Practice ZIP Code
14416-9355
Practice Country
US
Practice Phone
(585) 402-8343
Enumeration Date
March 29, 2013
Last Updated
March 29, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)