Individual
TRACY THUY VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8020 CONSTITUTION PL NE STE 202, ALBUQUERQUE, NM 87110-7640
(505) 998-3096
Mailing address
8020 CONSTITUTION PL NE STE 202, ALBUQUERQUE, NM 87110-7640
(505) 559-5629
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT86638
TX
363AS0400X
Surgical Physician Assistant
Primary
PA2024-0111
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15032531
—
NM
Enumeration date
09/23/2020
Last updated
05/05/2026
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