Individual
TRACY NICOLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 247, ALLIANCE, NE 69301-0247
(308) 763-9384
Mailing address
319 BLACK HILLS AVE, ALLIANCE, NE 69301-3209
(308) 762-1970
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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