Individual
MISS TRACY ANNE MAESTRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
203 WALLS DR STE 203, CLEBURNE, TX 76033-7029
(817) 517-5756
(817) 556-9105
Mailing address
1700 ROGERS RD APT 155, FORT WORTH, TX 76107-8610
(310) 977-0552
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
18403
CA
363LA2100X
Acute Care Nurse Practitioner
18403
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP128299
TX
Other
Enumeration date
08/15/2008
Last updated
10/30/2015
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