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Individual
TRACY ROBERTSON
Active
Individual
TRACY ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4707296819
MI
363LF0000X
Family Nurse Practitioner
Primary
4704296819
MI
Other
Enumeration date
09/19/2016
Last updated
03/08/2022
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