Individual
MRS. TRACY LYNN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2370 DREW ST, UNIT B, CLEARWATER, FL 33765-3310
(727) 461-1543
(727) 449-0594
Mailing address
2370 DREW ST, UNIT B, CLEARWATER, FL 33765-3310
(727) 461-1543
(727) 449-0594
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3282812
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306833100
—
FL
01
—
3282812
ARNP LICENSE NUMBER
FL
Enumeration date
08/05/2006
Last updated
07/09/2007
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