Individual
TRACY OTUBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
322 RESERVOIR ST, NEEDHAM, MA 02494-3169
(877) 920-6583
Mailing address
867 BOYLSTON ST FL 5, BOSTON, MA 02116-2774
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2365786
MA
Other
Enumeration date
05/14/2025
Last updated
01/13/2026
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