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NPI Code Detail

MEDICARE: MRS. TRACY LYNN GAUCK DNP, WHNP

MEDICARE:  MRS. TRACY LYNN GAUCK  DNP, WHNP
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
1363LW0102XWomen's Health Nurse Practitioner0024196346VA

General Provider Information

NPI Number : 1760161723
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TRACY LYNN GAUCK DNP, WHNP
Provider Business Mailing Address
First Line : 3245 CLUB HOUSE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-6503
Country : US
Telephone Number : 757-403-5020
Fax Number :
Provider Business Practice Location Address
First Line : 2075 GLENN MITCHELL DR STE 500
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-0179
Country : US
Telephone Number : 757-403-5020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2023
Last Update Date : 04/20/2026

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Directions to “ MRS. TRACY LYNN GAUCK DNP, WHNP” Practice Location

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