| Tracy Shanoha Lavette Wofford, APRN, CNP | |
|
715 S 8th St, Minneapolis, MN 55404-7530 | |
| (612) 873-6963 | |
| Not Available |
| Full Name | Tracy Shanoha Lavette Wofford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 715 S 8th St, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396134284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3408 (Minnesota) | Secondary |
| 163W00000X | Registered Nurse | 1758746 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hennepin County Medical Center 1 | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hennepin Healthcare System Inc | 4789684861 | 830 |
| Entity Name | Hennepin Healthcare System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Shanoha Lavette Wofford, APRN, CNP 701 Park Ave, Minneapolis, MN 55415-1623 Ph: (612) 873-3000 | Tracy Shanoha Lavette Wofford, APRN, CNP 715 S 8th St, Minneapolis, MN 55404-7530 Ph: (612) 873-6963 |
Tiffanie J Woods, CPNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2530 Chicago Ave, Minneapolis, MN 55404 Phone: 612-874-1292 | |
Tiffany Woynilko, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 801 Park Ave, Minneapolis, MN 55404 Phone: 612-343-3265 Fax: 612-343-3267 | |
Rachel Foss, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 801 Park Ave, Minneapolis, MN 55404 Phone: 612-343-3265 Fax: 612-343-3267 | |
Amanda Carter, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1099 10th Ave Se, Minneapolis, MN 55414 Phone: 612-767-6272 | |
Andrew Richard Erickson, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-4000 | |
Tessa Somermeyer, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 612-625-4680 | |
Kylie Marie Jackson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 |