Tracey Kosack
Nurse Practitioner, Psych/Mental Health in Morrisville, PA. Individual provider (NPI-1).
NPI number1366039331
StatusActive
Last updated in NPPESDec 24, 2020
Details
- NPI
- 1366039331
- Entity type
- Individual (NPI-1)
- Name
- Tracey Kosack
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 24, 2020
- Certification date
- Dec 23, 2020
- Last updated
- Dec 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 26NJ01086300 | NJ | Yes |
Practice location
1911 Sweetbriar RdMorrisville, PA 19067-3564
Phone 201-270-9695
Mailing address
1911 Sweetbriar RdMorrisville, PA 19067-3564
Phone 201-270-9695
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