Individual
TRACEY LAVONE EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
300 PINELLAS ST, CLEARWATER, FL 33756-3892
(727) 462-7000
Mailing address
6800 20TH AVE N APT 203, ST PETERSBURG, FL 33710-4797
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2845622
FL
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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