Individual provider · Type 1 NPI
John Tracy Iii, RN
Administrator Registered Nurse · Galax, VA
NPI number
1265935456
Active
Practice location
1139 S Main St
Galax, VA 24333-4409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 245600 (NC) |
Administrator Registered Nurse: Definition to come...
About NPI 1265935456
John Tracy Iii, RN's National Provider Identifier is 1265935456, issued on Mar 14, 2018. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Galax, VA. The record was last updated on Mar 14, 2018.