Individual
MS. TRACI ANN SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3280 N MCMULLEN BOOTH RD STE 200, CLEARWATER, FL 33761-2046
(727) 216-1141
(727) 796-1590
Mailing address
4371 VERONICA S SHOEMAKER BLVD, FORT MYERS, FL 33916-2216
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN1736742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110711900
—
FL
Enumeration date
01/05/2011
Last updated
11/19/2021
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