Individual
TRACY LYNN CORPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
(574) 262-9000
Mailing address
69425 M 62 LOT 3, EDWARDSBURG, MI 49112-9658
(574) 368-2777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
283236250A
IN
163W00000X
Registered Nurse
4704343668
MI
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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