Tracy L Hildebran
Nurse Practitioner - Adult Health
611 Mocksville Ave
Salisbury
, North Carolina 28144-2705
Tracy L Hildebran
Nurse Practitioner - Adult Health
611 Mocksville Ave
Salisbury
, North Carolina 28144-2705
(704) 647-0515
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Tracy L Hildebran
- 611 Mocksville Ave
- Salisbury, NC
- Zip : 28144-2705
- Fax : (704) 647-0515
- Phone : (704) 633-7220
Second Address
- Tracy L Hildebran
- 611 Mocksville Ave
- Salisbury, NC
- Zip : 28144-2705
- Fax : (704) 647-0515
- Phone : (704) 633-7220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | NC900391 | NC |
National Provider Identifier
| NPI | 1023094661 |
|---|---|
| Provider Name | Tracy L Hildebran |
| First Address | Salisbury, NC 28144-2705 |
| Second Address | Salisbury, NC 28144-2705 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/12/2005 |
| Last Update Date | 18/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P93667 | (02) | NC |
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.