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Individual

TRACEY HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2105 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 288-2100
Mailing address
2010 WYNDGATE LOOP, MONTGOMERY, AL 36117-8043
(334) 782-1551

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
1-080478
AL

Other

Enumeration date
06/26/2015
Last updated
06/26/2015
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