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Individual

MELISSA ANN TRACY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
600 MAPLE AVE STE 1, HONESDALE, PA 18431-1436
(570) 253-8635
Mailing address
600 MAPLE AVE STE 1, HONESDALE, PA 18431-1436
(570) 253-8635

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP012291
PA

Other

Enumeration date
08/29/2012
Last updated
11/12/2013
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