Individual
TRACI LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
500 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-8708
(678) 312-3958
Mailing address
405 MORROW RD, NEWBORN, GA 30056-2602
(770) 784-5756
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN160024
GA
Other
Enumeration date
10/20/2009
Last updated
12/06/2023
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