Tracie Kathryn Myers, TM
Midwife in Brook Park, MN. Individual provider (NPI-1).
NPI number1750687208
StatusActive
Last updated in NPPESApr 20, 2011
Details
- NPI
- 1750687208
- Entity type
- Individual (NPI-1)
- Name
- Tracie Kathryn Myers
- Credential
- TM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 1, 2011
- Last updated
- Apr 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 176B00000X | Midwife | – | – | Yes |
Practice location
22976 Quamba StBrook Park, MN 55007-4674
Phone 763-691-3746 · Fax 320-679-7045
Mailing address
22976 Quamba StBrook Park, MN 55007-4674
Phone 763-691-3746 · Fax 320-679-7045
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