Individual
TRACY MAUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 DEPOSIT DR NE STE 240, GRAND RAPIDS, MI 49546-1470
(616) 942-7400
(616) 942-7405
Mailing address
PO BOX 40412, BELFAST, ME 04915-1255
(616) 942-7400
(616) 942-7405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704225720
MI
363LF0000X
Family Nurse Practitioner
4704225720
MI
Other
Enumeration date
06/01/2017
Last updated
09/19/2025
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