TRACY MARIE WIDMER CRNP
NPI 1760644546
Nurse Practitioner - Pediatrics in Philadelphia, PA

Active since July 02, 2008
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-1000 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tracy Marie Widmer Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY MARIE WIDMER CRNP (NPI 1760644546) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (UP006244D) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1760644546
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTRACY MARIE WIDMERCredential: CRNP
Location Address3400 CIVIC CENTER BLVDPhiladelphia, PA 19104-4306
Mailing Address203 Stephanie CtFranklinville, NJ 08322-2699 · (856) 629-6839
Sole ProprietorNo
Enumeration DateJuly 2, 2008
NPI 1760644546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in PA · UP006244D
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Widmer's NPI number?

The NPI number for Tracy Widmer is 1760644546. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Tracy Widmer located?

Tracy Widmer practices at 3400 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.

What is Tracy Widmer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Tracy Widmer was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.