Individual
ALLISON TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 666-6951
Mailing address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
07539421
NH
363LF0000X
Family Nurse Practitioner
Primary
07539423
NH
Other
Enumeration date
08/02/2013
Last updated
01/31/2025
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