Individual
TRACY DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12 N PARK ST STE 2, SENECA FALLS, NY 13148-1437
(315) 568-9412
(315) 568-6718
Mailing address
12 N PARK ST STE 2, SENECA FALLS, NY 13148-1437
(315) 568-9412
(315) 568-6718
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
554387
NY
Other
Enumeration date
06/09/2016
Last updated
05/02/2024
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