Individual
MS. TRACEY ELIZABETH NANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2180 MARAVILLA LN, FORT MYERS, FL 33901-7221
(239) 470-8420
Mailing address
2180 MARAVILLA LN, FORT MYERS, FL 33901-7221
(239) 470-8420
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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