Individual
TRACY LYNN GRATHWOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1850 59TH ST W, BRADENTON, FL 34209-4603
(941) 792-4993
Mailing address
1850 59TH ST W, BRADENTON, FL 34209-4603
(941) 792-4993
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 3390622
FL
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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