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NPI Code Detail

MEDICARE: MS. TRACY BRITCHER-SPECK ARNP

MEDICARE:  MS. TRACY  BRITCHER-SPECK  ARNP
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 PractitionerARNP9188028FL

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 : 1831487073
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRACY BRITCHER-SPECK ARNP
Provider Business Mailing Address
First Line : 3255 S US HIGHWAY 1
Second Line :
City : FORT PIERCE
State : FL
Zip : 34982-6381
Country : US
Telephone Number : 772-742-9270
Fax Number : 772-742-9278
Provider Business Practice Location Address
First Line : 3255 S US HIGHWAY 1
Second Line :
City : FORT PIERCE
State : FL
Zip : 34982-6381
Country : US
Telephone Number : 772-742-9270
Fax Number : 772-742-9278
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2011
Last Update Date : 05/08/2020

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