Individual
TRACEY A MCCLOSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
30065 BUSINESS CENTER DRIVE, CHARLOTTE HALL, MD 20622
(301) 290-0395
(301) 290-0396
Mailing address
PO BOX 290, CHARLOTTE HALL, MD 20622-0290
(301) 290-0395
(301) 290-0396
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R068299
MD
Other
Enumeration date
10/17/2005
Last updated
11/05/2007
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