Individual
TRACY LEE FORNASIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
353 BLAIR PARK RD, WILLISTON, VT 05495-7530
(802) 847-1470
(802) 847-7135
Mailing address
353 BLAIR PARK RD, WILLISTON, VT 05495-7530
(802) 847-1470
(802) 847-7135
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
026.0030915
VT
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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