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Active NPI 1639521057 Individual Practitioner Female Practitioner

Tracey Wyttenbach , LPN

Licensed Practical Nurse • Seminole, FL

Professional Overview & Biography Verified Profile Summary

Tracey Wyttenbach, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Seminole, FL. Practice services are available at 5640 SEMINOLE BLVD LOT 349 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5640 Seminole Blvd Lot 349

Seminole, FL 337727326

Telephone 4072767519

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Seminole, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Seminole, FL (1995 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FL PN5223302

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2016

Registered at 5640 SEMINOLE BLVD LOT 349, SEMINOLE, FL 337727326 (Tel: 4072767519)

📍
Updated Business Mailing Address July 09, 2016

Registered at 5640 SEMINOLE BLVD LOT 349, SEMINOLE, FL 337727326 (Tel: 4072767519)

👤
Provider Name / Credentials Updated July 09, 2016

Recorded as TRACEY WYTTENBACH, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2016

Licensed Practical Nurse (License #PN5223302 in FL)

🟢
Initial NPI Registration & Enumeration July 09, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639521057
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2016
Last Update: July 09, 2016
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

5640 Seminole Blvd Lot 349

Seminole, FL 337727326

Phone: 4072767519

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.