Individual
TRACIE MEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 BEECHCREEK RD, COLUMBUS, OH 43213-1208
(614) 373-2183
Mailing address
180 BEECHCREEK RD, COLUMBUS, OH 43213-1208
(614) 373-2183
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
148544
OH
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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