Individual
LINDSEY R TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3575
Mailing address
7365 MAIN ST, STRATFORD, CT 06614-1300
(203) 384-3575
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
085222
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
5644
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085222
RN
CT
Enumeration date
08/05/2013
Last updated
10/01/2018
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