Individual
MISS TRACY DAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNP
Contact information
Practice address
1307 FEDERAL ST STE B100, PITTSBURGH, PA 15212-4761
(412) 359-8900
(412) 359-8977
Mailing address
1307 FEDERAL ST STE B100, PITTSBURGH, PA 15212-4761
(412) 359-8900
(412) 359-8977
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
SP015450
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP015450
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13845751
CAQH
PA
Enumeration date
12/03/2015
Last updated
04/08/2022
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