Individual
TRACY RICEWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP-BC
Contact information
Practice address
613 23RD ST STE 130, ASHLAND, KY 41101-2876
(606) 329-9335
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
026360
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
3010153
KY
363LG0600X
Gerontology Nurse Practitioner
APRN93802
WV
Other
Enumeration date
05/28/2016
Last updated
01/05/2022
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