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Individual
TRACIE MARIE HALVORSEN
Active
Individual
TRACIE MARIE HALVORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGCNS-BC
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
11449-33
WI
364SA2200X
Adult Health Clinical Nurse Specialist
11449-33
WI
364SG0600X
Gerontology Clinical Nurse Specialist
11449-33
WI
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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