Individual
MS. TINA DENNELL BRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3821 TIMBER VIEW WAY, REISTERSTOWN, MD 21136-1839
(410) 654-2442
Mailing address
3821 TIMBER VIEW WAY, REISTERSTOWN, MD 21136-1839
(443) 900-6897
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R187132
MD
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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