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Tracey Wilson, CRNP

Nurse Practitioner, Critical Care Medicine in Baltimore, MD. Individual provider (NPI-1).

NPI number1487828885
StatusActive
Last updated in NPPESAug 12, 2015

Details

NPI
1487828885
Entity type
Individual (NPI-1)
Name
Tracey Wilson
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Apr 16, 2008
Last updated
Aug 12, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LC0200X Nurse Practitioner, Critical Care MedicineR115362MDYes
363LA2100X Nurse Practitioner, Acute CareR115362MD

Practice location

29 S Greene St
Baltimore, MD 21201-1504

Phone 410-328-8141

Mailing address

Po Box 64442
Baltimore, MD 21264-4442

Phone 410-328-8141

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