Individual
TRACY L VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-4765
(337) 470-2809
Mailing address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-4765
(337) 470-2809
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03473
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1435872
—
LA
Enumeration date
07/11/2006
Last updated
05/17/2021
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