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TRACY MARTINI NP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1447708821
Individual Registrant: TRACY MARTINI NP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
104 BORDEN WAY LINCOLN UNIVERSITY, PA 19352-1235 US
Tel: 610-255-3641 Fax: --
Tel: 610-255-3641 Fax: --
Contact information for business:
104 BORDEN WAY LINCOLN UNIVERSITY, PA 19352-1235 US
Tel: 610-255-3641 Fax: --
Tel: 610-255-3641 Fax: --
Registration Information:
NPI: 1447708821
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | PA | SP017021 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
