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Individual
TRACY ANN HARRIS
Active
Individual
TRACY ANN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN321142
CA
363L00000X
Nurse Practitioner
Primary
NP11489
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP11489
LICENSE
CA
01
—
RN321142
RN LICENSE
CA
Enumeration date
09/02/2006
Last updated
02/15/2012
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