Tracie Nalley
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
687 Campbell Ave
West Haven
, Connecticut 06516-3774
Tracie Nalley
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
687 Campbell Ave
West Haven
, Connecticut 06516-3774
(203) 508-4616
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Tracie Nalley
- 80 Stanley St
- New Haven, CT
- Zip : 06511-4231
- Phone : (203) 508-4616
Second Address
- Tracie Nalley
- 687 Campbell Ave
- West Haven, CT
- Zip : 06516-3774
- Phone : (203) 932-6481
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Is Tracie Nalley a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 9556 | CT |
| N | 363LP2300X | Nurse Practitioner - Primary Care | 9556 | CT |
National Provider Identifier
| NPI | 1053996272 |
|---|---|
| Provider Name | Tracie Nalley |
| First Address | New Haven, CT 06511-4231 |
| Second Address | West Haven, CT 06516-3774 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/03/2021 |
| Last Update Date | 20/10/2021 |
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.