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Individual

TRACEY SPENCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
148 TYLER AVE, CARTERET, NJ 07008-1724
(732) 713-4435
Mailing address
148 TYLER AVE, CARTERET, NJ 07008-1724

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309969
NY

Other

Enumeration date
09/14/2020
Last updated
09/14/2020
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