Individual
MS. TRACEY LYNN DEWIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
719 THOMPSON LN, STE 25000, NASHVILLE, TN 37204-3609
(615) 322-2064
(615) 343-4877
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-2064
(615) 343-4877
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
13750
TN
Other
Enumeration date
11/10/2008
Last updated
03/31/2022
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