Individual
MRS. TRACY SHABU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
714 WINDY PEAK LOOP, CARY, NC 27519-1886
(919) 914-4097
Mailing address
714 WINDY PEAK LOOP, CARY, NC 27519-1886
(919) 914-4097
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11180114
NC
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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