Individual
TRACY C WITTREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M., M.S.N
Contact information
Practice address
675 S MAIN ST, CHESHIRE, CT 06410-3153
(203) 272-1811
Mailing address
675 S MAIN ST, CHESHIRE, CT 06410-3153
(203) 250-2125
(203) 250-2161
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
LNM 000012
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000012
CONNECTICARE
—
01
—
0Q2742
HEALTHNET
—
01
—
400000012CT01
ANTHEM BLUE CROSS OF CT
—
01
—
P2826209
OXFORD WEALTH PLAN
—
Enumeration date
06/28/2005
Last updated
05/22/2008
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