| Doctor Name: | MRS. TRACY PEARL MYERS |
| NPI Number: | 1821417320 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C-AGNP |
| License Number: | 53866 |
| Business Practice Address: | 201 Wood St Sistersville, WV - 261751523 |
| Business Phone Number: | 3046521032 |
| Business Fax Number: | 3043864603 |
| Mailing Address: | 201 Wood St, SISTERSVILLE |
| State: | WV |
| Postal Code: | 261751523 |
| Phone Number: | 3046521032 |
| Fax Number: | 3043864603 |
| NPI Enumeration Date: | 04/11/2014 |
| NPI Last Update Date: | 04/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 53866 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |