# TRACY MARIANO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1942472857
- **Gender:** F
- **Credential:** WHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 71003170A | IN | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 71003170B | IN | — |
| 363LW0102X | Women's Health Nurse Practitioner | 28143782A | IN | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | 28143782A | IN | — |

## Other

- **Enumeration date:** 03/31/2008
- **Last updated:** 09/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 71003170A | APN PRES AUTHORITY | — |
