Doctor Name: | MS. BARBARA S TRACY |
NPI Number: | 1609142504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP |
License Number: | RN178475 |
Business Practice Address: | 21 High St Lee, MA - 012381633 |
Business Phone Number: | 4132431122 |
Business Fax Number: | |
Mailing Address: | 110 Mandalay Rd, LEE |
State: | MA |
Postal Code: | 012389455 |
Phone Number: | 4132431122 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2012 |
NPI Last Update Date: | 03/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN178475 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |