Individual
TRACY A WORCESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 SILVER PINE CIR APT 8, GAYLORD, MI 49735-9811
(734) 239-4400
Mailing address
22420 MONTEREY DR, WOODHAVEN, MI 48183-2240
(734) 239-4400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704262457
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704262457
MI
Other
Enumeration date
05/01/2015
Last updated
02/12/2025
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