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Individual

MRS. TRACY J SHORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN,APN,CPNP

Contact information

Practice address
132 FRANKLIN CORNER RD, LAWRENCEVILLE, NJ 08648-2523
(609) 896-3808
Mailing address
166 FAIRVIEW RD, SKILLMAN, NJ 08558-1513
(609) 712-8200

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00022800
NJ
363LP0200X
Pediatric Nurse Practitioner
NJ000228
NJ

Other

Enumeration date
01/30/2007
Last updated
03/21/2019
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