Individual
TRACEE TABARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 S MARKET ST, FREDERICK, MD 21701-5527
(301) 600-1506
Mailing address
702 RUSSELL AVE, GAITHERSBURG, MD 20877-2606
(240) 595-7659
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
0001271471
VA
363L00000X
Nurse Practitioner
0024180389
VA
363L00000X
Nurse Practitioner
Primary
AC003567
MD
Other
Enumeration date
05/26/2020
Last updated
06/21/2021
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