Individual
MS. TRACY M. LUTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
125 HALTON RD STE 200, GREENVILLE, SC 29607-3507
(864) 232-7338
Mailing address
PO BOX 8676, GREENVILLE, SC 29604-8676
(864) 232-7338
(864) 239-6645
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000011028
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3640092
—
TN
Enumeration date
08/10/2005
Last updated
05/20/2024
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