Individual
MRS. TRACY MCNEILL KEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 PARKER LN, PINEHURST, NC 28374-7903
(910) 295-3133
Mailing address
2706 CEMETERY RD, SANFORD, NC 27332-8107
(919) 775-2898
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
128335
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3403400
—
NC
Enumeration date
04/06/2007
Last updated
07/09/2007
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