Individual
MRS. TRACIE NOELLE COMETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0100
Mailing address
205 HILTON AVE, CATONSVILLE, MD 21228-5729
(443) 553-6069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R173135
MD
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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