Individual
MELISSA MARIE TRACHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
390 NORTH LOOP RD, FORT IRWIN, CA 92310
(760) 383-5213
Mailing address
390 NORTH LOOP RD, FORT IRWIN, CA 92310
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95009259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002184
MEDICARE PTAN
KS
Enumeration date
09/30/2009
Last updated
01/22/2024
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