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Individual

MS. TRACY ALLISON EVANS-WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CNP

Contact information

Practice address
9500 EUCLID AVE, Q8, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
9500 EUCLID AVE, Q8, CLEVELAND, OH 44195-0001
(216) 444-2200

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.11261-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3065230
OH
Enumeration date
02/16/2010
Last updated
09/07/2010
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