Individual
MRS. TRACY J ADAMS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1020 9TH ST, WAUPACA, WI 54981-1909
(715) 281-4945
Mailing address
1020 9TH ST, WAUPACA, WI 54981-1909
(715) 281-4945
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38347500
—
WI
Enumeration date
03/17/2006
Last updated
07/09/2007
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