Individual provider · Type 1 NPI
Mary Tracy Berran, NNP
Critical Care Neonatal Nurse Practitioner · New York, NY
NPI number
1619094018
Active
Practice location
525 E 68th St, 6 West Nicu
New York, NY 10021-4870
Fax (212) 746-0358
Mailing address
12 Gail Dr
New City, NY 10956-3606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | F350060 (NY) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
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About NPI 1619094018
Mary Tracy Berran, NNP's National Provider Identifier is 1619094018, issued on Mar 23, 2007. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.