Individual
TRACEY BARNABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-5016
(781) 744-8000
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2280293
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2280293
MA
Other
Enumeration date
01/04/2024
Last updated
04/15/2024
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