TRACEE SHANAE RAIFE

TUSCALOOSA, AL
NPI1134465743
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: AL  3-001798)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MO  2012042578)
Enumeration Date2012-12-31
Last Update Date2024-07-31
Business Address
Mrs. TRACEE SHANAE RAIFE ANP
3302 15TH ST
TUSCALOOSA, AL 35401-2732
Phone number: 205-558-0877
Mailing Address
Mrs. TRACEE SHANAE RAIFE ANP
PO BOX 746063
ATLANTA, GA 30374-6063
Phone number: 312-733-9730