Individual
TRACI COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(423) 342-6016
Mailing address
154 EL BOWERS ROAD, ELIZABETHTON, TN 37643
(423) 342-6016
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18747
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932517737
—
VA
05
—
Q008897
—
TN
Enumeration date
07/25/2014
Last updated
07/11/2020
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