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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TRACY LYTLE HUFFSTATLER, APN, RN, ACNP-BC

Active

MRS. TRACY LYTLE HUFFSTATLER, APN, RN, ACNP-BC is a Nurse Practitioner healthcare provider located in DEFOREST, Wisconsin. NPI 1538305800 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · DEFOREST, WI

Registration Details

NPI Number
1538305800
Provider Type
Individual
Gender
Female
NPI Issued
Dec 17, 2008 (17.627054770992 yrs)
Last Updated
Apr 4, 2024
Licenses
13849 (TN)
22889 (WI)
13915-33 (WI)

Practice Information

Address
4914 INNOVATION DR
DEFOREST, WI, 535322839
Browse WI providers · Browse ZIP 53532
Phone
9015527885
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Acute Care Nurse Practitioner
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in DEFOREST, WI

Name Credential NPI
ROBYN D KNUDTSON MANSKE APNP 1902889140
JULIE LEDERMAN CNP 1982668547
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.