Individual
TRACEE BURROUGHS-GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 W 10TH ST, WILMINGTON, DE 19801-1422
(302) 984-3380
Mailing address
PO BOX 64260, BALTIMORE, MD 21264-4260
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C1-0009996
DE
2084P0800X
Psychiatry Physician
D67250
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018484500
—
MD
Enumeration date
03/04/2007
Last updated
04/14/2026
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