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Individual
STEPHANIE SUE TRACEY
Active
Individual
STEPHANIE SUE TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
NULL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APRN1106336
FL
367A00000X
Advanced Practice Midwife
Primary
APRN11006336
FL
Other
Enumeration date
02/28/2020
Last updated
02/21/2024
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