Individual provider · Type 1 NPI
Tracy Shabu
Gerontology Nurse Practitioner · Cary, NC
NPI number
1194352963
Active
Practice location
714 Windy Peak Loop
Cary, NC 27519-1886
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 11180114 (NC) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1194352963
Tracy Shabu's National Provider Identifier is 1194352963, issued on Mar 23, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Cary, NC. The record was last updated on Sep 29, 2026.