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Tracy Leach, NNP-BC
Critical Care Neonatal Nurse Practitioner in Longview, Texas
NPI 1144662032

Tracy Leach is a Critical Care Neonatal Nurse Practitioner based in Longview, TX and is specialized in Neonatal, Critical Care. Tracy Leach practices in Longview, TX and has the professional credentials of NNP-BC. The NPI Number for Tracy Leach is 1144662032 and holds a License No. AP124269 (Texas).

The current practice location address for Tracy Leach is 707 Hollybrook Dr, Longview, TX and can be reached out via phone at 903-757-6042.

Location: 707 Hollybrook Dr, Longview, TX, 75605-2410
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Provider Profile Details
NPI Number
1144662032
Provider Name
Tracy Leach
Credential
NNP-BC
Provider Entity Type
Individual
Gender
Female
Address
707 Hollybrook Dr, Longview, TX, 75605-2410
Phone Number
903-757-6042
Fax Number
Provider Enumeration Date
07/22/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
325841004 05 TX
75-2616977-042 01 TX TRICARE
P01813068 01 TX RAIL ROAD MEDICARE
8401MC 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
707 Hollybrook Dr
City
State
Zip
75605-2410
Phone Number
903-757-6042
Fax Number
person
Provider Business Mailing Address Details
Address
707 Hollybrook Dr
City
State
Zip
75605-2410
Phone Number
903-757-6042
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
License No.
AP124269 (Texas)
Definition
Definition to come...
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