# TRACY LEACH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144662032
- **Gender:** F
- **Credential:** NNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LN0000X | Neonatal Nurse Practitioner | AP124269 | TX | Yes |

## Other

- **Enumeration date:** 07/22/2013
- **Last updated:** 10/20/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 325841004 | — | TX |
| 01 | — | 75-2616977-042 | TRICARE | TX |
| 01 | — | 8401MC | BCBS | TX |
| 01 | — | P01813068 | RAIL ROAD MEDICARE | TX |
