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Individual

MRS. TRACIE MICHELE NATIONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP,CEN

Contact information

Practice address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161
(502) 361-6000
Mailing address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
KY3007656
KY
363LF0000X
Family Nurse Practitioner
3007656
KY

Other

Enumeration date
09/05/2012
Last updated
04/20/2015
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