# MEGHAN TRACEWSKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1588813307
- **Gender:** F
- **Credential:** CPNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 280040 | MA | — |
| 363L00000X | Nurse Practitioner | RN218122 | GA | Yes |

## Other

- **Enumeration date:** 09/17/2008
- **Last updated:** 03/18/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0718386 | — | MA |