Individual
TRACY SUDDRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACCNS-AG
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2020
Mailing address
3406 BENARD AVE, CHARLOTTE, NC 28206-2004
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
606
NC
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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