Individual
TRACY DANIEL-UKINAMEMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7807 ATLANTIC BREEZE LN, RICHMOND, TX 77407-4022
(832) 451-6020
Mailing address
7807 ATLANTIC BREEZE LN, RICHMOND, TX 77407-4022
(646) 472-6446
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
279881
NY
164X00000X
Licensed Vocational Nurse
221915
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1206415
TX
Other
Enumeration date
08/29/2008
Last updated
08/06/2025
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