Individual
ANGELA NICOLE TRACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6189 W JOHN L MODGLIN DR, GREENFIELD, IN 46140-9363
(317) 866-7320
Mailing address
6189 W JOHN L MODGLIN DR, GREENFIELD, IN 46140-9363
(317) 435-1575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009743A
IN
Other
Enumeration date
02/01/2020
Last updated
12/12/2023
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