Provider Demographics
NPI:1689466476
Name:TRACY-MATTHEWS, FRANCES M (RN)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:M
Last Name:TRACY-MATTHEWS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3113 BANKS LN SW
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98512-1451
Mailing Address - Country:US
Mailing Address - Phone:360-489-8789
Mailing Address - Fax:
Practice Address - Street 1:3113 BANKS LN SW
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98512-1451
Practice Address - Country:US
Practice Address - Phone:360-489-8789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202206321RN163W00000X
WARN60954463163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse