| Tracy Lee Burns, CNM | |
| 
					1170 N Estrella Pkwy Ste A107, Goodyear, AZ 85338-9276  | |
| (623) 846-7558 | |
| (623) 846-1674 | 
| Full Name | Tracy Lee Burns | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 1170 N Estrella Pkwy Ste A107, Goodyear, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417465865 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | AP10912 (Arizona) | Primary | 
| Entity Name | Alium Health Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619484037 PECOS PAC ID: 8123375789 Enrollment ID: O20180727001702  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tracy Lee Burns, CNM 4842 N Barranco Dr, Litchfield Park, AZ 85340-2738 Ph: (623) 388-4783  | Tracy Lee Burns, CNM 1170 N Estrella Pkwy Ste A107, Goodyear, AZ 85338-9276 Ph: (623) 846-7558  | 
Anjulie Broderick,  Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1170 N Estrella Pkwy Ste A107, Goodyear, AZ 85338 Phone: 623-263-0105  | |
Jessica Lynne Olano, CERTIFIED NURSE MIDW Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 35 N Estrella Pkwy, Goodyear, AZ 85338 Phone: 623-846-7558 Fax: 623-846-1674  | |
Kendell Lincoln, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 35 N Estrella Pkwy, Goodyear, AZ 85338 Phone: 623-846-7558  |