Individual
TRACEE L MATINCHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1025 W HARRISBURG PIKE, MIDDLETOWN, PA 17057-4848
(717) 944-0491
(717) 944-1436
Mailing address
1025 W HARRISBURG PIKE, MIDDLETOWN, PA 17057-4848
(717) 944-0491
(717) 944-1436
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016306
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103118722
—
PA
Enumeration date
06/21/2016
Last updated
01/28/2021
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