Individual
MRS. TRACY J WILBRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25 HIGHLAND AVE, NEWBURYPORT, MA 01950-3867
(617) 362-6848
Mailing address
867 BOYLSTON ST, BOSTON, MA 02116-2774
(617) 362-6848
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
232427
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
MW0400755I
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN232427
MA
Other
Enumeration date
12/29/2005
Last updated
03/17/2026
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