Individual
TRACI DOERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 REUBEN ST, FREDERICKSBURG, TX 78624-4484
(830) 992-2560
Mailing address
250 CULLY DR, KERRVILLE, TX 78028-5950
(830) 258-7288
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP133037
TX
363LG0600X
Gerontology Nurse Practitioner
AP133037
TX
363LP2300X
Primary Care Nurse Practitioner
AP133037
TX
Other
Enumeration date
02/01/2017
Last updated
02/18/2023
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