Individual
TRACY DALE BEARSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2153 WHITEFORD RD, WHITEFORD, MD 21160-1401
(410) 688-5170
Mailing address
2153 WHITEFORD RD, WHITEFORD, MD 21160-1401
(410) 688-5170
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R169020
MD
Other
Enumeration date
01/18/2022
Last updated
04/05/2023
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