Individual
AUDREY E TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 FAIRFIELD DR, UPMC NORTHWEST HOSPITAL, SENECA, PA 16346-2130
(814) 676-7600
(814) 676-7975
Mailing address
104 E 2ND ST, 4TH FLOOR, ERIE, PA 16507-1502
(814) 877-7157
(814) 877-2844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057334
PA
363A00000X
Physician Assistant
OA003444
PA
Other
Enumeration date
12/12/2014
Last updated
01/26/2024
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