Individual
AMANDA TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 615-8975
Mailing address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 615-8975
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP161215
ME
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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