Individual
TRACEY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9101 BABCOCK BLVD, PITTSBURGH, PA 15237
(412) 748-6301
Mailing address
9101 BABCOCK BLVD, PITTSBURGH, PA 15237
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP020460
PA
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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