| NPI | 1043204969 |
|---|---|
| Other Name | TRACY ANDREA RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 165081) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 201683) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 201683) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2018-06-22 |