Individual
TRACEY NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG ACNP
Contact information
Practice address
3130 HIGHLAND AVE FL 3, CINCINNATI, OH 45219-2399
(513) 584-7217
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3104
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN CNP 019471
OH
363LA2100X
Acute Care Nurse Practitioner
RN 194999
OH
Other
Enumeration date
10/05/2016
Last updated
06/30/2017
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