Individual
LAUREN MARIE TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1021 MOREHEAD MEDICAL DR, CHARLOTTE, NC 28204-2990
(980) 442-2000
Mailing address
301 29TH AVE N APT 111, NASHVILLE, TN 37203-2273
(615) 480-6913
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015605
NC
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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