Individual
TRACIE GIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3704 NORTH BLVD STE D, ALEXANDRIA, LA 71301-3658
(318) 528-3200
(318) 528-3201
Mailing address
919 HIDDEN RDG, 6TH FLOOR, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-2609
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07207
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2335791
—
LA
Enumeration date
02/26/2013
Last updated
06/15/2015
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