TRACY LEE EDWARDS

SOUTH BEND, IN
NPI1568753127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  71007338A)
Additional Taxonomies364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult
(Licence: TX  607986)
Enumeration Date2011-04-29
Last Update Date2018-03-27
Business Address
Ms. TRACY LEE EDWARDS PMHNP
220 W COLFAX AVE STE 400
SOUTH BEND, IN 46601-1635
Phone number: 574-546-1900
Mailing Address
Ms. TRACY LEE EDWARDS PMHNP
220 W COLFAX AVE STE 400
SOUTH BEND, IN 46601-1635
Phone number: 574-546-1900