Individual
TRACY ANNE AGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT NP
Contact information
Practice address
1830 E MONUMENT ST, 8TH FLOOR: GENERAL INTERNAL MEDICINE, BALTIMORE, MD 21287-0020
(443) 287-2030
Mailing address
1830 E MONUMENT ST, 8TH FLOOR: GENERAL INTERNAL MEDICINE, BALTIMORE, MD 21287-0020
(443) 287-2030
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R158480
MD
363LA2200X
Adult Health Nurse Practitioner
AP30007541
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406387200
—
MD
Enumeration date
04/11/2006
Last updated
09/11/2013
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