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Individual
TRACY L FREER
Active
Individual
TRACY L FREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, RN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
9769
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
241
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2206673
CIGNA
AK
01
—
252309
COMPSYCH
AK
01
—
350238000
AETNA
AK
01
—
416445
VALUE OPTION
AK
01
—
45-5503677
COMMERCIAL INSURANCE
—
01
—
K152469
MEDICARE GROUP
AK
05
—
MH9931
—
AK
Enumeration date
12/28/2006
Last updated
09/20/2016
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