Individual
TRACY BARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 SHAFFER ST, KALAMAZOO, MI 49048-1604
(844) 206-8738
Mailing address
5741 ARBUTUS ST, KALAMAZOO, MI 49009-9533
(269) 993-0894
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
4704328255
MI
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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