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NPI Code Detail

MEDICARE: TRACY A KRAMER N.P.

MEDICARE: TRACY A KRAMER N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner601359TX

General Provider Information

NPI Number : 1548371438
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY A KRAMER N.P.
Provider Business Mailing Address
First Line : PO BOX 18962
Second Line :
City : BELFAST
State : ME
Zip : 04915-4084
Country : US
Telephone Number : 800-566-5050
Fax Number : 254-755-6695
Provider Business Practice Location Address
First Line : 2100 LAKE SHORE DR
Second Line :
City : WACO
State : TX
Zip : 76708-1271
Country : US
Telephone Number : 254-537-6160
Fax Number : 254-755-6695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 01/06/2017

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Directions to “ TRACY A KRAMER N.P.” Practice Location

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