Individual provider · Type 1 NPI
Tracy Lynn Boetto, FNP
Family Nurse Practitioner · Concord, NC
NPI number
1780169854
Active
Practice location
5303 Poplar Tent Rd Ste 90
Concord, NC 28027-9720
Mailing address
1012 Bailes Ridge Ave Bldg APT306
Indian Land, SC 29707-0088
Other practice locations
- 13521 Steelecroft Pkwy Ste B, Charlotte, NC 28278-7889 · (704) 315-5845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 5011024 (NC) |
| Family Nurse Practitioner Primary | 363LF0000X | 5011024 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1780169854
Tracy Lynn Boetto, FNP's National Provider Identifier is 1780169854, issued on Sep 25, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Concord, NC. The record was last updated on Jul 9, 2024.