Individual
TRACY WEIDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
086253
NC
163WL0100X
Lactation Consultant (Registered Nurse)
11151169
NC
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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