Individual
TRACEY LEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1805 S BROAD ST, PHILADELPHIA, PA 19148-2115
(215) 467-7666
Mailing address
405 N CLINTON AVE, WENONAH, NJ 08090-2111
(856) 217-8884
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP016946
PA
363LS0200X
School Nurse Practitioner
SP016946
PA
Other
Enumeration date
03/03/2017
Last updated
05/09/2023
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