Individual
TRACEY R MORENO-SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2116 N CEDAR ST, LUMBERTON, NC 28358-3928
(910) 674-3030
(910) 674-3051
Mailing address
2116 N CEDAR ST, LUMBERTON, NC 28358-3928
(910) 674-3030
(910) 674-3051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024173910
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0001189033
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
0001189033
VA
Other
Enumeration date
09/07/2016
Last updated
03/16/2022
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