Provider Demographics
NPI:1346422235
Name:POZAR, TRACY ELIZABETH (CFNP)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:ELIZABETH
Last Name:POZAR
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:MS
Other - First Name:TRACY
Other - Middle Name:ELIZABETH
Other - Last Name:YUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APNP
Mailing Address - Street 1:4445 WILSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:MOUND
Mailing Address - State:MN
Mailing Address - Zip Code:55364-1914
Mailing Address - Country:US
Mailing Address - Phone:970-389-5570
Mailing Address - Fax:
Practice Address - Street 1:4445 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:MOUND
Practice Address - State:MN
Practice Address - Zip Code:55364-1914
Practice Address - Country:US
Practice Address - Phone:970-389-5570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201050067NP363LF0000X
AZ329912363L00000X
MN12998363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology