Tracey, Kathleen Rebecca

Tracey, Kathleen Rebecca is an individual health care provider with primary practice located at 161 Jackson St , Lowell MA 01852-2103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Tracey, Kathleen Rebecca can be contacted via phone (978) 937-9700.

Contact Information

Primary practice address
161 Jackson St Lowell MA 01852-2103
Phone: (978) 937-9700
Fax: (978) 221-6728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R187571 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN2305437 Massachusetts

Profile Details

NPI number 1558702332
LBN Legal business name Tracey, Kathleen Rebecca
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2013
Last updated Jan 3rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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