Individual
TRACY MCILWEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2111 NEUSE BLVD STE J, NEW BERN, NC 28560-4318
(252) 636-0300
(252) 565-0947
Mailing address
2111 NEUSE BLVD STE J, NEW BERN, NC 28560-4318
(252) 636-0300
(252) 565-0947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
194786
NC
363L00000X
Nurse Practitioner
Primary
5013800
NC
Other
Enumeration date
10/27/2020
Last updated
12/18/2020
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