Tracy Renee Pilgrim APN

NPI 1033394804 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1033394804
Gender Female
Enumeration Date 12/29/2007
Last Updated 12/29/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
105 NATHAN ST
MARKED TREE AR, 72365, US
Phone (870) 358-2036
Fax (870) 358-4116
Business Location
105 NATHAN ST
MARKED TREE AR, 72365, US
Phone (870) 358-2036
Fax (870) 358-4116
Toxanomy
Taxonomy Code 363L00000X
License State Arkansas
License Number A01248
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According to our database, Mrs. Tracy Renee Pilgrim APN NPI is 1033394804, taxonomy code is 363L00000X and license number is A01248, license state is located at Arkansas. Tracy Renee Pilgrim APN physically located at 105 Nathan St, Marked Tree AR, 72365. NPI Number Tracy Renee Pilgrim APN has the Individual type.

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1033394804 NPI number is provided on an as is basis without warranty of any kind. 1033394804 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Renee Pilgrim APN are for informational purposes only.