Individual provider · Type 1 NPI

Tracy Melancon Fife, NPC

Adult Health Nurse Practitioner · Marrero, LA

NPI number 1790977973 Active

Practice location

1111 Medical Ctr. Blvd., N-613
Marrero, LA 70072

Fax (504) 349-6621

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XRN078784-AP03216 (LA)
Adult Health Nurse Practitioner 363LA2200XRN078784-AP03216 (LA)
Adult Health Nurse Practitioner Primary 363LA2200XAP03216 (LA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1790977973

Tracy Melancon Fife, NPC's National Provider Identifier is 1790977973, issued on Aug 13, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Marrero, LA. The record was last updated on Jun 11, 2013.