Individual
TRACY T AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN, RN, CPNP
Contact information
Practice address
261 JAMES ST, SUITE 1G, MORRISTOWN, NJ 07960-6392
(973) 540-9393
(973) 540-1937
Mailing address
261 JAMES ST, SUITE 1G, MORRISTOWN, NJ 07960-6392
(973) 540-9393
(973) 540-1937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR15655300
NJ
163W00000X
Registered Nurse
643508
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00428100
NJ
Other
Enumeration date
10/01/2012
Last updated
04/01/2016
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