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Individual

TRACY ANNE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-4343
(336) 716-6674
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6674
(336) 716-9188

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5019680
NC
363L00000X
Nurse Practitioner
APRN11013627
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
1048303
DC

Other

Enumeration date
08/09/2018
Last updated
03/12/2024
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