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TRACY SHANOHA LAVETTE WOFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Contact information

Practice address
715 S 8TH ST, MINNEAPOLIS, MN 55404-7530
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1758746
MN
363LF0000X
Family Nurse Practitioner
3408
MN

Other

Enumeration date
01/14/2015
Last updated
11/05/2025
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