Individual
TRACEY SKELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
451 AMHERST ST STE 102, NASHUA, NH 03063-1200
(603) 882-4221
Mailing address
451 AMHERST ST STE 102, NASHUA, NH 03063-1200
(603) 882-4221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0954
NH
152W00000X
Optometrist
5050
MA
152W00000X
Optometrist
OEG002969
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3111481
—
NH
Enumeration date
07/18/2014
Last updated
12/07/2021
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