Individual
MS. TRACI ANN CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1322 BELMONT AVE STE 201, SALISBURY, MD 21804-4593
(410) 749-6833
Mailing address
1322 BELMONT AVE STE 201, SALISBURY, MD 21804-4593
(410) 749-6833
(410) 749-5139
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R186099
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
10/06/2014
Last updated
12/17/2025
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