Individual provider · Type 1 NPI
Tracy Ann Videtta, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Lowell, MA
NPI number
1265194674
Active
Practice location
27 Jackson St Apt 213
Lowell, MA 01852-2140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2299729 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1265194674
Tracy Ann Videtta, PMHNP's National Provider Identifier is 1265194674, issued on Oct 13, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lowell, MA. The record was last updated on Oct 13, 2021.