Individual
MRS. TRACI BADEUSZ SCULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2001 N JEFFERSON AVE, MOUNT PLEASANT, TX 75455-2371
(903) 577-6080
Mailing address
7262 FARM ROAD 1734, MOUNT PLEASANT, TX 75455-1730
(903) 818-0014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
698610
TX
Other
Enumeration date
04/30/2010
Last updated
09/12/2012
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