Individual
TRACY RAE LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
600 GRESHAM DR, STE 8630B, NORFOLK, VA 23507-1904
(757) 388-6115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024172572
VA
Other
Enumeration date
11/12/2007
Last updated
10/30/2024
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