Individual
TRACY RUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
1400 TULLIE RD NE FL 2, ATLANTA, GA 30329-2309
(404) 255-1933
(404) 785-0934
Mailing address
1400 TULLIE RD NE FL 2, ATLANTA, GA 30329-2309
(404) 255-1933
(404) 785-0934
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN232320
GA
Other
Enumeration date
02/10/2017
Last updated
06/06/2022
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