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Individual
MS. TRACIE KATHERINE MUDGE
Active
Individual
MS. TRACIE KATHERINE MUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9333268
FL
363LA2100X
Acute Care Nurse Practitioner
ARNP9333268
FL
363LA2100X
Acute Care Nurse Practitioner
R55588
NM
Other
Enumeration date
12/08/2005
Last updated
11/27/2023
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