Doctor Name: | TRACY A SCHLOSSER |
NPI Number: | 1225209133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 166926 |
Business Practice Address: | 205 Balfour Dr Archdale, NC - 272633117 |
Business Phone Number: | 3364310700 |
Business Fax Number: | 3364310762 |
Mailing Address: | Po Box 9, WEST END |
State: | NC |
Postal Code: | 273760009 |
Phone Number: | 9106739111 |
Fax Number: | 9106736202 |
NPI Enumeration Date: | 03/19/2008 |
NPI Last Update Date: | 03/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 166926 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |