Dr. Tracey Hitchen Myatt
Adolescent Medicine
154 Waterman St
Providence
, Rhode Island 02906-3116
Dr. Tracey Hitchen Myatt
Adolescent Medicine
154 Waterman St
Providence
, Rhode Island 02906-3116
(401) 273-2468
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Tracey Hitchen Myatt
- 36 Methyl St
- Providence, RI
- Zip : 02906-4902
- Phone : (401) 273-2468
Second Address
- Dr. Tracey Hitchen Myatt
- 154 Waterman St
- Providence, RI
- Zip : 02906-3116
- Fax : (401) 383-6010
- Phone : (401) 383-4411
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | M.D.11993 | RI |
National Provider Identifier
| NPI | 1225078744 |
|---|---|
| Provider Name | Dr. Tracey Hitchen Myatt |
| First Address | Providence, RI 02906-4902 |
| Second Address | Providence, RI 02906-3116 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2006 |
| Last Update Date | 24/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| BM9590351 | DEA (01) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.