Individual provider · Type 1 NPI

Tracy Lynne Moody, FNP-BC

Family Nurse Practitioner · Baldwin, MI

NPI number 1578713798 Active

Practice location

1615 Michigan Ave
Baldwin, MI 49304

Mailing address

2249 Wealthy St SE, Ste 202
Grand Rapids, MI 49506-3052

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704177334 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1578713798

Tracy Lynne Moody, FNP-BC's National Provider Identifier is 1578713798, issued on Sep 24, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baldwin, MI. The record was last updated on Jul 29, 2015.