Individual
TRACY LYNN HAWSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP LLC
Contact information
Practice address
4923 US ROUTE 5, WESTMINSTER, VT 05158-9651
(802) 722-4023
Mailing address
4923 US ROUTE 5, WESTMINSTER, VT 05158-9651
(802) 722-4023
(802) 307-0275
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
11004875
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
111807-23
NH
363LA2200X
Adult Health Nurse Practitioner
95013954
CA
363LF0000X
Family Nurse Practitioner
101-0138767
VT
Other
Enumeration date
11/05/2019
Last updated
03/26/2026
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