Brandon S Tracy, FNP-C

NPI #1710403746 in Rexburg, Idaho

Provider Information

NPI Number
1710403746
Entity Type
Individual
Name
Brandon S Tracy, FNP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
FNP-C
Enumeration Date
Aug 22, 2017
Last Updated
Oct 11, 2019

Practice Location

Address
1049 SUMMERS DR
State
Idaho
ZIP Code
83440-5335
Phone
(208) 359-4841

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Nurse Practitioner

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