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Individual

MRS. TRACY KAY O'SHEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-CNP #58842

Contact information

Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
4520 MARTINSBURG RD NW, ALBUQUERQUE, NM 87120-3857
(505) 385-4981

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R64921
NM
363LF0000X
Family Nurse Practitioner
Primary
58842
NM

Other

Enumeration date
12/31/2019
Last updated
06/14/2023
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