Individual
MS. TRACY KIMBERLY NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP, CNP, RN
Contact information
Practice address
7430 WENTWORTH AVE, RICHFIELD, MN 55423-4133
(612) 488-0040
(833) 973-4055
Mailing address
376 COUNTY ROAD F E, VADNAIS HEIGHTS, MN 55127-6109
(651) 491-5425
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP9811-2415705-36924
MN
Other
Enumeration date
12/15/2022
Last updated
11/25/2024
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