Individual
KATHLEEN REBECCA TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
(978) 221-6728
Mailing address
161 JACKSON ST, LOWELL, MA 01852-2103
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
R187571
MD
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2305437
MA
Other
Enumeration date
07/09/2013
Last updated
01/03/2024
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