Individual
CAROLYN TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
87 N MAIN ST, LEOMINSTER, MA 01453-5507
(978) 534-8701
Mailing address
554 BROOK RD, MILTON, MA 02186-2824
(978) 602-5328
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2348466
MA
363L00000X
Nurse Practitioner
Primary
RN2348466
MA
Other
Enumeration date
08/01/2022
Last updated
10/25/2022
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