Individual
MRS. TRACY M HAMRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
11123 PARKVIEW PLAZA DR STE 204, FORT WAYNE, IN 46845-1707
(260) 266-8380
(260) 266-8385
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005024A
IN
363LW0102X
Women's Health Nurse Practitioner
COA.15819-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112406
—
OH
Enumeration date
07/09/2014
Last updated
04/07/2026
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