Individual
TRACY K MAGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 RILEY HOSPITAL DR, RI 5837, INDIANAPOLIS, IN 46202-5109
(317) 944-8167
(317) 944-9760
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 274-1201
(317) 278-9905
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28107924
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201147270
—
IN
Enumeration date
02/01/2013
Last updated
08/13/2013
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