Individual
TRACIE LARUE
Active
Individual
TRACIE LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
E57063
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477695849
NPI
—
Enumeration date
02/13/2007
Last updated
10/27/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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