Individual
TRACY LYN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN/FNP-C
Contact information
Practice address
189 SUMMER STREET, MINUTE CLINIC (INSIDE CVS), KINGSTON, MA 02364
(781) 585-6581
Mailing address
189 SUMMER STREET, MINUTE CLINIC (INSIDE CVS), KINGSTON, MA 02364
(781) 585-6581
(781) 585-0197
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
099887
CT
163W00000X
Registered Nurse
2264530
MA
363L00000X
Nurse Practitioner
Primary
RN2264530
MA
363LF0000X
Family Nurse Practitioner
4852
CT
363LF0000X
Family Nurse Practitioner
RN2264530
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235900
—
CT
Enumeration date
10/27/2011
Last updated
10/30/2014
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