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General NPI Number Information
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NPI Number | 1053996272
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Entity Type | Individual
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Provider Name | TRACIE NALLEY PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/10/2021
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 80 STANLEY ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-4231
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Country | US
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Telephone | 203-508-4616
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Fax |
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Provider Business Mailing Address
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Address Line | 80 STANLEY ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-4231
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Country | US
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Telephone | 203-508-4616
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5022895
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9556
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License Number State | CT
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