Organization
INTERNAL MEDICINE AND PREVENTIVE CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TRACIE ALANNA WASHBURN ANP-BC (NURSE PRACTITIONER)
(508) 496-5704
Entity
Organization
Contact information
Practice address
130 VIRGO DR, NEW BEDFORD, MA 02745
(508) 496-5704
Mailing address
130 VIRGO DR, NEW BEDFORD, MA 02745
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
RN261281
MA
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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