Individual
MISS TRACIE ANN CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
31 FARGO DR, HUNTINGTON, VT 05462-9703
(802) 999-3671
Mailing address
31 FARGO DR, HUNTINGTON, VT 05462-9703
(802) 999-3671
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
074-0000225
VT
133VN1004X
Pediatric Nutrition Registered Dietitian
074-0000225
VT
Other
Enumeration date
03/13/2009
Last updated
07/06/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us