person
Luann Marie Tracey, FNP
Family Nurse Practitioner in South Bend, Indiana
NPI 1528358405

Luann Marie Tracey is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Luann Marie Tracey practices in South Bend, IN and has the professional credentials of FNP. The NPI Number for Luann Marie Tracey is 1528358405 and holds a License No. 71003603A (Indiana).

The current practice location address for Luann Marie Tracey is 1708 High St, South Bend, IN and can be reached out via phone at 574-647-1400 and via fax at 574-647-5128.

Location: 1708 High St, South Bend, IN, 46617-1924
person
Provider Profile Details
NPI Number
1528358405
Provider Name
Luann Marie Tracey
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1708 High St, South Bend, IN, 46617-1924
Phone Number
574-647-1400
Fax Number
574-647-5128
Provider Enumeration Date
04/13/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000714838 01 IN ANTHEM
000000789433 01 IN ANTHEM
000000714843 01 IN ANTHEM
201024030 05 IN
institution
Provider Business Practice Location Address Details
Address
1708 High St
City
State
Zip
46613-2633
Phone Number
574-647-1400
Fax Number
574-647-5128
person
Provider Business Mailing Address Details
Address
1708 High St
City
State
Zip
46613-2633
Phone Number
574-647-1400
Fax Number
574-647-5128
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71003603A (Indiana)
Definition
Definition to come...
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