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NPI Code Detail

MEDICARE: TRACY ANN SCHLOSSER RN, PMHNP-BC

MEDICARE: TRACY ANN SCHLOSSER RN, PMHNP-BC
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
1163WP0808XPsychiatric/Mental Health Registered Nurse166926NC
2363LP0808XPsychiatric/Mental Health Nurse Practitioner5016004NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225209133
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY ANN SCHLOSSER RN, PMHNP-BC
Provider Business Mailing Address
First Line : PO BOX 2723
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27802-2723
Country : US
Telephone Number : 252-210-3350
Fax Number : 252-212-0322
Provider Business Practice Location Address
First Line : 90 GUARDIAN CT
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-3017
Country : US
Telephone Number : 252-212-3350
Fax Number : 252-212-3497
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2008
Last Update Date : 05/10/2022

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