Individual
TRACY WEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 PENFIELD RD, PENFIELD, NY 14526-1711
(585) 922-0084
Mailing address
2200 PENFIELD RD, PENFIELD, NY 14526-1711
(585) 922-0084
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
22 525636
NY
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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