Individual provider · Type 1 NPI

Monica Tracy, AGPCNP-C

Adult Health Nurse Practitioner · Bossier City, LA

NPI number 1134500820 Active

Practice location

4405 Airline Dr
Bossier City, LA 71111-2058

Mailing address

3931 Le Brooke Ln
Benton, LA 71006-9726

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XAP08324 (LA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1134500820

Monica Tracy, AGPCNP-C's National Provider Identifier is 1134500820, issued on Jun 18, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bossier City, LA. The record was last updated on Jun 18, 2015.