Individual
MRS. TRACIE LYN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP/CRNFA
Contact information
Practice address
1530 3RD AVE S, BIRMINGHAM, AL 35294-0002
(205) 975-3000
Mailing address
121 SPRINGDALE DR, GARDENDALE, AL 35071-4736
(205) 451-8179
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-086092
AL
Other
Enumeration date
01/20/2008
Last updated
05/22/2012
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