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Individual
TRACI MACCHIAVERNA
Active
Individual
TRACI MACCHIAVERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN636840
PA
363LF0000X
Family Nurse Practitioner
Primary
SP026877
PA
Other
Enumeration date
11/21/2022
Last updated
12/28/2022
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