Tracy Nierth, RN
Registered Nurse in Saint Augustine, FL. Individual provider (NPI-1).
NPI number1164062279
StatusActive
Last updated in NPPESJan 7, 2020
Details
- NPI
- 1164062279
- Entity type
- Individual (NPI-1)
- Name
- Tracy Nierth
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 7, 2020
- Certification date
- Jan 7, 2020
- Last updated
- Jan 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN2166362 | FL | Yes |
Other names
- Tracy Edge Weisbrod (Former Name)
Practice location
201 Simone WaySaint Augustine, FL 32086-7750
Phone 904-829-1770
Mailing address
201 Simone WaySaint Augustine, FL 32086-7750
Phone 904-829-1770
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