Individual
TRACI MARLOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
140 VILLAGE ST, SUITE 100, BIRMINGHAM, AL 35242-6410
(205) 980-1744
(205) 980-1334
Mailing address
140 VILLAGE ST, SUITE 100, BIRMINGHAM, AL 35242-6410
(205) 980-1744
(205) 980-1334
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
1081273
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1081273
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13792350
CAQH
AL
01
—
51157383
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
02/05/2015
Last updated
03/15/2016
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