Mrs. Tracy E Mansour, NURSE PRACTITIONER
Nurse Practitioner, Family in Mattapan, Massachusetts
1942996996- Practice location
- 87 W Selden St, Mattapan, MA 02126-2346
- Phone
- 857-500-3022
- Fax
- —
- Last updated
- May 13, 2025
Tracy Elizabeth Mansour is a Nurse Practitioner, Family based in Mattapan, MA. Tracy Elizabeth Mansour practices in Mattapan, MA and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Tracy Elizabeth Mansour is 1942996996 and holds a License No. 264410 (MA). The current practice location address for Tracy Elizabeth Mansour is 87 W Selden St, Mattapan, MA 02126-2346 and can be reached out via phone at 857-500-3022.
Provider Profile Details
- NPI Number
- 1942996996
- Provider Name
- Tracy Elizabeth Mansour
- Credential
- NURSE PRACTITIONER
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 87 W Selden St, Mattapan, MA 02126-2346
- Phone Number
- 857-500-3022
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 13, 2023
- Last Update Date
- May 13, 2025
- Certification Date
- May 13, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 87 W Selden St
Mattapan, MA 02126-2346 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-2346
- Phone Number
- 857-500-3022
Provider Business Mailing Address Details
- Address
- 87 W Selden St
Mattapan, MA 02126-2346 - City
- Mattapan
- State
- MA
- Zip
- 02126-2346
- Phone Number
- 857-500-3022
License Information
- License Number (1)
- 264410
- License State (1)
- MA
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 264410
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Tracy E Mansour, NURSE PRACTITIONER?
The NPI number of Mrs. Tracy E Mansour, NURSE PRACTITIONER is 1942996996. It was assigned on April 13, 2023 and is currently active in the NPPES registry.
What is the specialty of Mrs. Tracy E Mansour, NURSE PRACTITIONER?
Mrs. Tracy E Mansour, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 264410.
Where does Mrs. Tracy E Mansour, NURSE PRACTITIONER practice?
The practice location is 87 W Selden St, Mattapan, MA 02126-2346. The office can be reached at 857-500-3022 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942996996 directly on the NPPES registry website.