Individual
TRACY A MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 COULTER RD STE 2615, CLIFTON SPRINGS, NY 14432-1122
(315) 462-1472
(315) 462-2639
Mailing address
2 COULTER RD STE 2615, CLIFTON SPRINGS, NY 14432-1122
(315) 462-1472
(315) 462-2639
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430042
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02329793
—
NY
01
—
NP0539
PREFERRED CARE
NY
01
—
P019430042
BCBS BLUE CHOICE
NY
Enumeration date
05/13/2006
Last updated
01/06/2023
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