Doctor Name: | MS. TRACY TINKER |
NPI Number: | 1013365774 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, RN, CDE |
License Number: | 061412-21 |
Business Practice Address: | 199 Manchester St Manchester, NH - 031035232 |
Business Phone Number: | 6036638718 |
Business Fax Number: | 6033144554 |
Mailing Address: | 195 Mcgregor St, Ll22 MANCHESTER |
State: | NH |
Postal Code: | 031023748 |
Phone Number: | 6036638718 |
Fax Number: | 6033144554 |
NPI Enumeration Date: | 06/02/2016 |
NPI Last Update Date: | 06/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WD0400X |
License Number: | 061412-21 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Diabetes Educator |
Taxonomy Definition: |