Individual
MRS. ASHLEY TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
419 W REDWOOD ST, SUITE 500, BALTIMORE, MD 21201-1734
(667) 214-1300
(410) 328-2648
Mailing address
1630 WHETSTONE WAY, APT #206, BALTIMORE, MD 21230-5150
(802) 338-2457
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001235806
VA
363LW0102X
Women's Health Nurse Practitioner
0024171089
VA
363LW0102X
Women's Health Nurse Practitioner
Primary
R218833
MD
Other
Enumeration date
12/05/2013
Last updated
12/30/2015
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